Skip to main content
Log in

Surgery for ileal mesenteric lymphangioma during pregnancy: Case report and review of the literature

  • Published:
Journal of Gastrointestinal Surgery

Abstract

Mesenteric lymphangioma is one of the least frequently encountered types of benign tumor. This case report concerns a 31-year-old pregnant woman with a mesenteric cystic lymphangioma in the ileum. The multiloculated cystic mass was noted near the uterus by CT before the patient became pregnant. After becoming pregnant, she was followed without treatment for the asymptomatic mass. At 25 weeks’ gestation, however, she underwent emergency surgical treatment for small bowel obstruction. Concomitant small bowel resection was performed to remove the cyst. Herein we review seven reported cases of mesenteric benign tumor in pregnancy and explore the clinical features.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Godart S. Embryological significance of lymphangioma. Arch Dis Child 1966;41:204–206.

    Article  PubMed  CAS  Google Scholar 

  2. Elliott GB, Kliman MR, Elliot KA. Persistence of lymphaticovenous shunts at the level of the microcirculation: Their relationship to ‘lymphangioma’ of mesentery. Ann Surg 1970; 172:131–136.

    PubMed  CAS  Google Scholar 

  3. Ros PR, Olmsted WW, Moser RP, Dachman AH, Hjermstad BH, Sobin LH. Mesenteric and omental cysts: Histologic classification with imaging correlation. Radiology 1987;164:327–332.

    PubMed  CAS  Google Scholar 

  4. Takiff H, Calabria R, Yin L, Stabile BE. Mesenteric cysts and intra-abdominal cystic lymphangiomas. Arch Surg 1985; 120:1266–1269.

    PubMed  CAS  Google Scholar 

  5. Bliss DP, Coffin CM, Bower RJ, Stockmann PT, Ternberg JL. Mesenteric cysts in children. Surgery 1994;115:571–577.

    PubMed  Google Scholar 

  6. Kurtz RJ, Heimann TM, Beck AR, Holt J. Mesenteric and retroperitoneal cysts. Ann Surg 1986;203:109–112.

    Article  PubMed  CAS  Google Scholar 

  7. Kosir MA, Sonnino RE, Gauderer MWL. Pediatric abdominal lymphangiomas: A plea for early recognition. J Pediatric Surg 1991;26:1309–1313.

    Article  CAS  Google Scholar 

  8. Good CA. Tumors of the small intestine. AJR 1962;89:685–705.

    Google Scholar 

  9. Fleming MP, Carlson HC. Submucosal lymphatic cysts of the gastrointestinal tract: A rare cause of submucosal mass lesion. AJR 1970;110:842–845.

    CAS  Google Scholar 

  10. Walker AR, Putnam TC. Omental, mesenteric, and retroperitoneal cysts: A clinical study of 33 new cases. Ann Surg 1973; 178:13–19.

    Article  PubMed  CAS  Google Scholar 

  11. Lugo-Olivieri CH, Taylor GA. CT differentiation of large abdominal lymphangioma from ascites. Pediatr Radiol 1993; 23:129–130.

    Article  PubMed  CAS  Google Scholar 

  12. Cutillo DP, Swayne LC, Cucco J, Dougan H. CT and MR imaging in cystic abdominal lymphangiomatosis. J Comput Assist Tomogr 1989;13:534–536.

    Article  PubMed  CAS  Google Scholar 

  13. Dunn JM. A large mesenteric cyst complicating pregnancy. JAMA 1967;200:205–206.

    Article  Google Scholar 

  14. O’driscoll RG, Salerno JG, Quartrell AC, Fletcher HS. A mesenteric cyst in pregnancy. Am J Obset Gynecol 1977; 129:588–590.

    CAS  Google Scholar 

  15. Rahatzad MT, Adamson D. A pictorial essay of pelvic and abdominal masses seen during pregnancy. I Clin Ultrasound 1986;14:255–267.

    Article  CAS  Google Scholar 

  16. Cohen I, Altaras M, Lew S, Jaffe R, Ben-Aderet N. Huge mesenteric mucinous cystadenoma in normal pregnancy. Obestet Gynecol 1988;71:1030–1032.

    CAS  Google Scholar 

  17. GastMJ, Jacobs AJ, Goforth G, Martin CM.Mesenteric cysts in pregnancy: A case report. J Reprod Med 1989;34:179–182.

    PubMed  CAS  Google Scholar 

  18. Cipriano L, Palazzetti PL, Alo P, Serpieri DE, Torcia F, Pachi A. Abdominal cystic lymphangioma in a woman at 14 weeks’ gestation: Case report. Eur J Gynaecol Oncol 2000;21:391–392.

    PubMed  CAS  Google Scholar 

  19. Kenney B, Smith B, Bensoussan AL. Laparoscopic excision of a cystic lymphangioma. J Laparoendosc Surg 1996;6(Suppl 1):S99-S101.

    PubMed  Google Scholar 

  20. Shimamura H, Ueda J, Ogawa Y, Ichimura H, TanakaM. Total excision of mesenteric cysts by laparoscopic surgery: Report of two cases. Surg Laparosc Endosc 1997;7:173–176.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Junzo Yamaguchi M.D..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Torashima, Y., Yamaguchi, J., Taniguchi, K. et al. Surgery for ileal mesenteric lymphangioma during pregnancy: Case report and review of the literature. J Gastrointest Surg 8, 616–620 (2004). https://doi.org/10.1016/j.gassur.2003.10.012

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1016/j.gassur.2003.10.012

Key words

Navigation