Article

Mesenteric lymphatic malformation associated with acute appendicitis: A case report

Journal of Medical Case Reports 09/2009; 3(1):9030. DOI: 10.4076/1752-1947-3-9030
Source: PubMed

ABSTRACT

Mesenteric lymphatic malformations are rare, benign tumors that are most commonly found in children. The presentation of these tumors is variable and may either be innocuous or life threatening. It has been suggested that mesenteric lymphatic malformations are congenital; however, there is evidence that their growth may be stimulated by local trauma.
We describe the first case of a mesenteric lymphatic malformation associated with acute appendicitis in a 13-year-old Caucasian boy. The patient is well six months after surgical excision of the tumor.
The reader should be aware that growth and/or development of mesenteric lymphatic malformations may be associated with trauma and other pro-inflammatory processes.

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Available from: Catherine J Hunter
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    ABSTRACT: Mesenteric lymphatic malformations are rare, benign tumors of unknown etiology, most commonly found in children. There are fewer than 200 cases of intraabdominal mesenteric lymphatic malformations reported in the literature. Management of these lesions can include observation, medical management, or surgical resection. Sepsis is a common cause of admission to the pediatric intensive care unit with Escherichia coli being a common causative gram-negative organism. This case discusses a patient with a left-sided abdominal mesenteric lymphatic malformation who was admitted to the pediatric intensive care unit with septic shock and eventual multisystem organ failure secondary to E coli.
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