Abstract
Infected intra-abdominal cystic lymphangiomas are very rare. We report a case of a purulent mesenteric cyst, histologically a cystic lymphangioma, w which developed in a 1-year-old girl who presented with marked abdominal distension and high fever. Magnetic resonance imaging revealed that the huge cystic lesion occupied the entire peritoneal cavity. It originated from the mesocolon. It was removed completely, and contained sticky pus at the base where the right fallopian tube penetrated it, which indicated the focus of infection. This may be the first report of a purulent mesenteric cyst in which the route of infection was suspected.
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Artasona ML, Urrutia G, Peiron MJ, et al: Quiste mesenterico infectado, perforado a intestino delgado: forma inusual de abdomen quirurgico. A proposite de un case. Rev Esp Enf Ap Digest 72: 555–557, 1987
Bliss DP Jr, Coffin CM, Bower RJ, et al: Mesenteric cysts in children. Surgery 115: 571–577, 1994
Burkett JS, Pickleman J: The rationale for surgical treatment of mesenteric and retroperitoneal cysts. Am surg 60: 432–435 1994
Chou YH, Tiiu CM, Lui WY, et al: Mesenteric and omental cysts: an ultra-sonographic and clinical study of 15 patients. Gastrointest Radiol 16: 311–314 1991
Hebra A, Brown MF, McGeehin KM, et al: Mesenteric, omental, and retroperitoneal cysts in children: a clinical study of 22 cases. South Med J 86: 173–176, 1993
Naito S, Nitta K, Wakasa O, et al: A case of mesenteric cyst with the symptom of acute abdomen. Jpn J Pediatr Surg 22: 921–924, 1990
Ros PR, Olmsted WW, Moster RP, et al: Mesenteric and omental cysts: histologic classification with imaging correlation. Radiology 164: 327–332, 1987
Rosai J (1981) Peritoneum, omentum, mesentery, and retroperitoneum. In: Ackerman's surgical pathology, 6th edn. Mosby, St. Louis Toronto London, pp 1480–1504
Sato T, Imano M, Kubota A, et al: A pediatric case of mesenteric cyst classified histologically as intra-abdominal cystic lymphangioma. J Jpn Soc Clin Cytol 32: 557–561, 1993
Takamatsu H, Akiyama H, Noguchi H, et al: Two cases of mesenteric cyst. J Jpn Soc Pediatr Surg 24: 1321–1325, 1988
Takiff H, Calabria R, Yin L, et al: Mesenteric cysts and intra-abdominal cystic lymphangiomas. Arch Surg 120: 1266–1269, 1985
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Kubota, A., Yonekura, T., Kuroda, D. et al. Giant purulent mesenteric cyst. Pediatr Surg Int 11, 45–46 (1996). https://doi.org/10.1007/BF00174584
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DOI: https://doi.org/10.1007/BF00174584