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Case report
Complete resection of a massive mesenteric lymphangioma in an adult
  1. Dominic Robert Parker1,2,
  2. Philip Kiely1 and
  3. Richard Smith1
  1. 1Trauma and Surgical Oncology Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia
  2. 2Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia
  1. Correspondence to Dr Dominic Robert Parker; dominic.parker{at}sa.gov.au

Abstract

Mesenteric lymphangioma is a benign cystic tumour of the lymphatic vessels that occurs rarely in adults. Due to the infrequency of cases and the insidious presentation, these tumours can be diagnosed late and become massive. Resection of mesenteric lymphangioma in its entirety is the recommended management in order to prevent recurrence. This case report describes the finding of a massive mesenteric lymphangioma (dimensions 420×470×100 mm) in a young man, the investigations leading to diagnosis, and the subsequent surgical management. The substantial size of this tumour produced considerable challenges for the surgical team, including involvement of adjacent small bowel and mesenteric vasculature. Preoperative diagnosis and assessment of the anatomy was pivotal in achieving a complete resection and a good patient outcome.

  • surgical oncology
  • general surgery
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Footnotes

  • Contributors DRP contributed to the literature review, data collection, writing, subsequent revision and submission of the report. PK contributed to the data collection, photography and revision of the report. RS supervised the project and contributed to revision of the report, and the patient was under the care of RS.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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