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Open Access Case Report

Benign mesenteric lymphangioma presenting as acute pancreatitis: a case report

Solomon Akwei1*, Neil Bhardwaj2 and Paul D Murphy3

Author Affiliations

1 Department of Surgery, Queens Medical Centre, Derby Road, Nottingham, NG7 2UH, UK

2 Department of Surgery, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK

3 Department of Surgery, Pilgrim Hospital, Sibsey Road, Boston, Lincolnshire, PE21 9QS, UK

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Cases Journal 2009, 2:9328  doi:10.1186/1757-1626-2-9328

Published: 16 December 2009

Abstract

Benign mesenteric lymphangiomas are rare intra-abdominal cysts which may be asymptomatic or present with a variety of abdominal symptoms including an acute abdomen. We are however not aware of any reports in the literature linking mesenteric lymphangioma to acute pancreatitis. We present the case of a 62-year-old man who was admitted with signs and symptoms of acute pancreatitis and a palpable abdominal mass. Computerised tomography (CT) of his abdomen confirmed the presence of a mesenteric cystic mass. He underwent a laparotomy at which a large thin walled mass filled with a chylous fluid was resected. Histological analysis of this cyst showed it to be a benign mesenteric lymphangioma.