An Adult Case of Significantly Shrunken Cystic Lymphangioma in the Mesentery after Infection

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  • SAKAKIBARA Mai
    Department of Surgery, National Organization Chiba Medical Center
  • SATOMI Daisuke
    Department of Surgery, National Organization Chiba Medical Center
  • DOKI Tomoko
    Department of Surgery, National Organization Chiba Medical Center
  • NOMURA Satoru
    Department of Surgery, National Organization Chiba Medical Center
  • FUKUTOMI Satoshi
    Department of Surgery, National Organization Chiba Medical Center
  • MORISHIMA Yuichi
    Department of Surgery, National Organization Chiba Medical Center

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  • 炎症消退後に面積比10％に縮小し腹腔鏡下に切除した腸間膜リンパ管腫の1例
  • エンショウショウタイゴ ニ メンセキヒ 10%ニ シュクショウ シ フククウキョウ カ ニ セツジョ シタ チョウ カンマク リンパカン シュ ノ 1レイ

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Abstract

<p>The patient was a 51-year-old woman with chief complaints of abdominal pain and anorexia. A blood test showed a high degree of inflammation. Abdominal computed tomography showed a multifocal cystic lesion in the abdominal cavity, 119×154 mm in size, with inflammation. A diagnosis of abdominal lymphangioma with infection was made, and the patient was treated with antibiotics. The abdominal pain and inflammation disappeared with antibiotic treatment. Magnetic resonance imaging 8 weeks after onset showed that the lymphangioma had shrunk significantly to 28×68 mm. Laparoscopy showed a lymphangioma in the ascending mesocolon, and laparoscopic ileocecal resection was safely performed. The pathological diagnosis was cystic lymphangioma of colonic mesentery.</p><p>Cystic lymphangioma, which is congenital and rare in adults, tends to grow rapidly and regress after infection or bleeding. The clinical course of this case is presented along with a review of the relevant literature.</p>

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