Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2018  |  Volume : 23  |  Issue : 1  |  Page : 36--38

Ileal cystic lymphangioma presenting with acute appendicitis


Su-Ann Lui, Yoke Lin Nyo, VP Mali 
 Department of Pediatric Surgery, National University of Hospital, Singapore

Correspondence Address:
V P Mali
Department of Pediatric Surgery, National University of Hospital, 5 Lower Kent Ridge Road, 119074
Singapore

Mesenteric lymphatic malformations are rare benign tumors that are most commonly found in children. The presentation of these tumors can be variable. It has been suggested that mesenteric lymphatic malformations are congenital; however, there is evidence that their size may be increased by infection. A 3-year 10-month-old boy presented with rhinorrhea and cough followed by acute abdominal pain. Ultrasonography revealed a lobulated mass in the lower abdomen. Computerized tomography scan of the abdomen diagnosed an inflamed appendix with perforation. Laparotomy revealed a multicystic mass within the mesentery closely adherent to the ileum; with omentum wrapped around. The appendix was dilated and firm. An ileal resection and an appendicectomy were performed. Histology confirmed acute transmural appendicitis with concurrent cystic lymphangioma of the ileal mesentery. Although rare, cystic lymphangioma must be considered in the differential of pediatric acute abdomen. Surgeons must be aware of this association and be reminded to inspect the rest of small bowel during appendicectomy especially if the preoperative imaging is suspicious.


How to cite this article:
Lui SA, Nyo YL, Mali V P. Ileal cystic lymphangioma presenting with acute appendicitis.J Indian Assoc Pediatr Surg 2018;23:36-38


How to cite this URL:
Lui SA, Nyo YL, Mali V P. Ileal cystic lymphangioma presenting with acute appendicitis. J Indian Assoc Pediatr Surg [serial online] 2018 [cited 2023 Feb 4 ];23:36-38
Available from: https://www.jiaps.com/article.asp?issn=0971-9261;year=2018;volume=23;issue=1;spage=36;epage=38;aulast=Lui;type=0