Xu J, Lv TF. Rupture of a giant jejunal mesenteric cystic lymphangioma misdiagnosed as ovarian torsion: A case report. World J Clin Cases 2024; 12(4): 847-852 [PMID: 38322678 DOI: 10.12998/wjcc.v12.i4.847]
Corresponding Author of This Article
Jing Xu, Doctor, Assistant Professor, Department of Hepatopathy, Hangzhou Xixi Hospital, No. 2 Hengbu Street, Xihu District, Hangzhou 310023, Zhejiang Province, China. xukeren@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Feb 6, 2024; 12(4): 847-852 Published online Feb 6, 2024. doi: 10.12998/wjcc.v12.i4.847
Rupture of a giant jejunal mesenteric cystic lymphangioma misdiagnosed as ovarian torsion: A case report
Jing Xu, Tie-Feng Lv
Jing Xu, Tie-Feng Lv, Department of Hepatopathy, Hangzhou Xixi Hospital, Hangzhou 310023, Zhejiang Province, China
Author contributions: Xu J and Lv TF conceptualized and designed the case presentation; Xu J performed the data collection, analyzed and interpreted the data, drafted and critically revised the manuscript; All authors read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jing Xu, Doctor, Assistant Professor, Department of Hepatopathy, Hangzhou Xixi Hospital, No. 2 Hengbu Street, Xihu District, Hangzhou 310023, Zhejiang Province, China. xukeren@163.com
Received: November 6, 2023 Peer-review started: November 6, 2023 First decision: December 20, 2023 Revised: December 22, 2023 Accepted: January 12, 2024 Article in press: January 12, 2024 Published online: February 6, 2024
Abstract
BACKGROUND
Cystic lymphangioma is a rare benign tumor that affects the lymphatic system. Mesenteric lymphangiomas in the small bowel are extremely uncommon.
CASE SUMMARY
We present a 21-year-old female patient who complained of abdominal pain. The diagnosis of ovarian torsion was suspected after abdominopelvic unenhanced computed tomography and ultrasound revealed a large cyst in contact with the bladder, ovary, and uterus. The patient underwent emergency laparotomy performed by gynecologists, but it was discovered that the cystic tumor originated from the jejunum. Gastrointestinal surgeons were then called in to perform a cystectomy. Pathological examination confirmed the diagnosis of cystic lymphangioma of the mesentery. The patient had an uneventful postoperative recovery.
CONCLUSION
Mesenteric lymphangiomas can cause abdominal pain, and imaging techniques can help determine their characteristics, location, and size. Complete surgical excision and pathological examination are considered the standard treatment and diagnostic method.
