Revista chilena de cirugía
versão On-line ISSN 0718-4026
LEON F, FELIPE; PEREZ B, GUSTAVO; MENDEZ O, GONZALO e BOLADOS A, CLAUDIA. Mesenteric lymphangiomathosis presenting as an acute abdomen in an older subject. Rev Chil Cir [online]. 2012, vol.64, n.4, pp. 378-382. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262012000400009.
We report a 71 years old male who consulted in the emergency room for abdominal pain lasting 12 hours. On physical examination there was pain on abdominal palpation and signs of peritoneal irritation. An abdominal CT scan showed a thickening of the medial and distal ileum, multiple adjacent collections and signs of peritonitis. The patient was operated, observing multiple white tumors in the mesentery and serosa of small bowel, one of these lesions, adhered to the bowel wall, had a hemorrhagic infarct. One of the Ie-sions was punctured, obtaining a milky fluid. Biopsies were obtained and the infarcted lesion was excised. The pathological study reported a Mesenteric Multilocular Lymphangioma. The patient had an uneventful postoperative evolution.
Palavras-chave : Lymphangioma; mesenteric; acute abdomen.