Cystic Lymphangioma of the Jejunal Mesentery in a Child

Abstract

Mesenteric cystic Lymphangioma are rare intra-abdominal benign tumours of the lymphatic vessels with an incidence of 1:250,000 hospital admission. Representing 5-6% of pediatric benign tumours with a male predominance. It is commonly found in children’s appearing at 60% birth and 40% by 2 years of age. A literature review of the studies of mesenteric cystic lymphangioma revealed that only 19% cases were reported from 1960 to 2009. The cystic lymphangioma consists of dilated lymphatic vessels but lacks connection to the adjacent normal lymphatic spaces. Clinical presentation of mesenteric cystic lymphangioma are asymptomatic abdominal mass to symptomatic of an acute abdomen or intestinal obstruction due to volvulus. Herein we report a rare case of a huge mesenteric cystic lymphangioma of the Jejunum mesentery in a 5 years old boy. Presenting with asymptomatic palpable abdominal mass in the epigastric and umbilical region. Mesenteric lymphangioma is an extremely rare entity. Total surgical excision of the small bowel along with the huge cystic mass and jejuno-ileal anastomosis.