Mesenteric Cystic Lymphangioma with Traumatic Hemorrhage

ABSTRACT

Lymphangiomas are rare benign cystic tumors and they are most often located in the head, neck, and axilla in pediatric patients. The etiology of mesenteric cystic lymphangioma is unknown and the clinical presentation is diverse, ranging from an asymptomatic abdominal tumor to symptoms of an acute abdomen. A 16-year-old male patient presented to the Emergency Department complaining of an increasingly painful abdominal mass. He hit his abdomen against friend's knee during playing soccer. CT scan showed a mesenteric cystic mass that looked like hematoma. Under the diagnosis of a mesenteric hematoma, he underwent emergency laparotomy. The mass in the mesentery was removed. Mesenteric cystic lymphangioma with hemorrhage was confirmed by the pathologic result. We present here a case of a mesenteric cystic lymphangioma with post-traumatic hemorrhage.