Download PDF
CC BY-NC-ND 4.0 · Avicenna J Med 2019; 9(02): 82-85
DOI: 10.4103/ajm.AJM_203_18
CASE REPORT

Ileal volvulus secondary to cystic lymphangioma: A rare case report with a literature review

Shoog F Alfadhel
Medical Student, Faculty of Medicine, King Saud Bin Abdulaziz University for Health Sciences KSAU-HS, Riyadh, Kingdom of Saudi Arabia
,
Abdulmajeed A Alghamdi
Medical Intern, Faculty of Medicine, Al-Baha University, Riyadh, Kingdom of Saudi Arabia
,
Saif A Alzahrani
Medical Intern, Faculty of Medicine, Al-Baha University, Riyadh, Kingdom of Saudi Arabia
› Author Affiliations Financial support and sponsorship Nil.
› Further Information
   Permissions and Reprints

Abstract

Lymphangioma is a benign malformation of the lymphatic system. It usually affects the neck, head, and rarely, the abdomen. Volvulus is a serious condition, which occurs as a result of bowel twisting around itself or around the mesentery leading to severe consequences such as obstruction. The most common cause of volvulus in children is malrotation. We report a rare case of a 2-year-old boy who was brought by his parents to the emergency room with the complaint of constipation for 5 days and vomiting for the last 4 days. Examination and plain abdominal X-ray suggested intestinal obstruction. Furthermore, ultrasonography indicated the presence of a cyst and dilatation of the bowel. On exploratory laparotomy, an ileal volvulus caused by cystic lymphangioma developed on the mesenteric wall and associated with ileal and jejunal dilatation was observed. The diseased segments were resected in addition to 5cm before and after the cystic lymphangioma to prevent recurrence.

Keywords

Lymphangioma - obstruction - volvulus


Publication History

Article published online:
09 August 2021

© 2019. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Jain S, Jain M, Meena L, Bansal S. Lymphangioma of small bowel wall: A rare case report. SEAJCRR 2014; 3: 811-6
    Google Scholar
  • 2 Islam S, Hosein D, Dan D, Naraynsingh V. Volvulus of ileum: A rare cause of small bowel obstruction. BMJ Case Reports 2016;2016:bcr2016216159.
  • 3 Kim Y, Moon S. Segmental volvulus of the ileum without malrotation in an infant: A case report. J Paediatr Surg Case Reports 2015; 3: 397-9
    CrossrefGoogle Scholar
  • 4 Day W, MY KanD. A small bowel lymphangioma presenting as a volvulus. Hong Kong Med J 2010; 16: 233-4
    PubMedGoogle Scholar
  • 5 Cardella L, Carman T, Ponsky T. Giant jejunal mesenteric lymphangioma causing acute small bowel volvulus. J Pediatr Surg Case Reports 2018; 28: 77-80
    CrossrefGoogle Scholar
  • 6 Kim Y, Jung Y, Im M, Choi S, Kim E, Choi Y, Sarin YK. CT findings of ileal cystic lymphangioma: A case report. J Korean Society Radiol 2012; 66: 283
    CrossrefGoogle Scholar
  • 7 Prehal M, Hagerb J. Intraabdominal cystic lymphangiomas in children: A single center experience. Int J Clin Pediatr 2014; 3: 89-93
    Google Scholar
  • 8 Ooms N, Matthyssens LE, Draaisma JM, de Blaauw I, Wijnen MH. Laparoscopic treatment of intestinal malrotation in children. Eur J Pediatr Surg 2016; 26: 376-81
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Sham M, Kudrimoti J. Rare location of mesenteric cystic lymphangioma in an infant. J Clin Neonatol 2014; 3: 164-6
    CrossrefGoogle Scholar
  • 10 Mabrouk M, Barka M, Farhat W, Harrabi F, Azzaza M, Abdennaceur N. et al Intra-abdominal cystic lymphangioma: Report of 21 cases. J Cancer Therapy 2015; 6: 572-8
    CrossrefGoogle Scholar