ISSN 1308-8734 | E-ISSN 1308-8742
Case Report
The Multi-Detector CT findings of giant abdominal lymphangiectasis mimicking a mesenteric cystic mass in a patient with midgut volvulus
1 Department of Radiology, Medical Faculty, Atatürk University, Erzurum, Turkey  
2 Department of Radiology, Develi Government Hospital, Kayseri, Turkey  
3 Department of Pathology, Medical Faculty, Atatürk University, Erzurum, Turkey  
4 Department of Pediatric Surgery, Numune Hospital, Erzurum, Turkey  
Eurasian J Med 2008; 40: 94-97

Key Words: Intestinal lymphangiectasis , MDCT, Midgut volvulus

Our purpose is to show the Multi-Detector CT (MDCT) findings of an intra-abdominal giant cystic lesion with midgut volvulus and to share our experience with giant lymphangiectasis mimicking a mesenteric cyst or a cystic mass. The pathological evaluation indicated that the cyst contained abdominal lymphatic material. Malrotation is usually detected in infants and children, but rarely in adults. In patients with chronic and recurrent volvulus, chronic venous congestion with lymphatic engorgement may occur. Interference with lymphatic drainage may result in formation of a lymphangioma or a chylous mesenteric cyst. In our case, because of the intestinal lymphatic torsion, there was a cystic lesion mimicking a mesenteric cyst or a cystic mass. To our knowledge, this is the first case of midgut volvulus and large mesenteric lymphangiectasis to be depicted by MDCT.

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