Olbrzymia torbiel krezki jelita cienkiego. Opis przypadku
Giant small intestine mesenteric cyst: case report

Summary/Abstract: Lymphangiomas are very rare, mesenteric tumours in the small intestine. Usually, they are found in the head or neck and are mainly diagnosed in paediatric patients. These tumour sappear in adult patients, but are extremely rare. We report on a 46-year-old patient who was operated on in 2012 at the General Surgery Department of St. Jan Grande Hospital in Krakow. The patient presented with chronic abdominal pain and with episodes of nausea for 3 years. Physical examination revealed a 10 cm mass in the lower part of abdomen.Imaging studies, ultrasonography and a CT-scan, showed a large (117 x 58 x 159 mm)cyst in the abdomen. During surgery, a giant small intestine mesenteric cyst was found in the medial and left lower part of the abdomen. The tumour was enucleated and sent for histopathology examination. The cyst contained about 700 ml of a milk-like fluid. After histopathology tests, lymphangioma was diagnosed. The patient was instructed about the necessity of regular check-ups due to the risk of recurrence. This case confirms that diagnosis of lymphangioma is usually accidental. In addition, the rarity of this tumour makes the right diagnostic procedure even more difficult to achieve.

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