Mesenteric lymphangioma

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  • Mesenteric lymphangioma

    1. 1. Imaging DepartmentJune 26 th, 20 1 2Reported by Dr. Giang
    2. 2.  Name: Chu Xuan Hiep Sex: Male Age: 4 years old. Dept: A5
    3. 3. Clinical Abdominal pain Mild fever Vomiting Palpable abdominal mass.
    4. 4. MRI Findings(T2WI, Axial, Pre C+) Well-define large cystic mass distend fromRight upper quadrant abdomen to the pelvic(12,5 x5,8 cm) Hyperintense signal (homogenous)
    5. 5. MRI Findings(T2 FS, Coronal, Pre C+) Hyperintense Compress & displace Bowel loops to the Left Hypointense structure pass throw the Cyst.
    6. 6. MRI Findings(T1W, Axial, Pre C+) Hypointense signal = water signal
    7. 7. MRI Findings(T1W, Coronal, Post C+) Multiseptations intracyst: thin & mild enhance post C+ Structrure pass throw the cyst: enhance like bowel.
    8. 8. MRI Findings(T1W, Axial, Post C+) Multiseptations intracyst: thin & mild enhance post C+
    9. 9. US Findings Large cystic mass with multi- thin septations (> 12,5 cm) Hypogenic, fluid filled cyst. Bowel loop pass throw the cyst.
    10. 10. DiagnosisMesenteric Cystic Lymphangioma
    11. 11. Background1. Definition:Mesenteric Cystic Lymphangioma: A cystic mass arising in themesentery or omentum, not from an abdominopelvic organs2. Location: Occur anywhere in the mesentery or omentum3. Size: Few mm to 40 cm in diameter4. Age: Children and young adults; 33% < 15 years of age5. Epidemiology: Rare 1/140,000 in general admission, 1/20,000in pediatric admission
    12. 12. Background6. Complication: Intestinal obstruction, volvulus, hemorrhage,rupture, infection, sepsis, cystic torsion and obstruction of theurinary and biliary tract7. Treatment: Enucleation of cyst ± bowel resection8. Prognosis: Good after surgery, 0-13.6% recurrence rate
    13. 13. Thank you for attention!

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