An unusual cause of ileal volvulus, a giant mesenteric cystic lymphangioma

Volvulus of the midgut involves twisting of the small bowel around its mesenteric axis. It is frequently associated with malrotation in children, it can also be attributed to other causes such as tumors. Mesenteric lymphangiomas account for only 5% of all lymphangiomas, and small bowel lymphangiomas...

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Main Authors: Nouha Boubekri, MD, Amal Akammar, MD, Hajar Ouazzani, MD, Ismail Chaouche, MD, Nizar El Bouardi, MD, Meriem Haloua, Badreddine Alami, MD, Moulay Youssef Lamrani Alaoui, MD, Mustapha Maaroufi, MD, Meryem Boubbou, MD
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S193004332500603X
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author Nouha Boubekri, MD
Amal Akammar, MD
Hajar Ouazzani, MD
Ismail Chaouche, MD
Nizar El Bouardi, MD
Meriem Haloua
Badreddine Alami, MD
Moulay Youssef Lamrani Alaoui, MD
Mustapha Maaroufi, MD
Meryem Boubbou, MD
author_facet Nouha Boubekri, MD
Amal Akammar, MD
Hajar Ouazzani, MD
Ismail Chaouche, MD
Nizar El Bouardi, MD
Meriem Haloua
Badreddine Alami, MD
Moulay Youssef Lamrani Alaoui, MD
Mustapha Maaroufi, MD
Meryem Boubbou, MD
author_sort Nouha Boubekri, MD
collection DOAJ
description Volvulus of the midgut involves twisting of the small bowel around its mesenteric axis. It is frequently associated with malrotation in children, it can also be attributed to other causes such as tumors. Mesenteric lymphangiomas account for only 5% of all lymphangiomas, and small bowel lymphangiomas represent less than 1% of all cases. The combination of small bowel volvulus secondary to a lymphangioma is exceedingly rare, with only a handful of cases reported in the literature. Our case was a 3 years old patient, admitted for acute abdominal pain. The abdominal radiological explorations found a large lobulated cystic mass occupying the entire pelvic cavity and surrounding digestive structures, suggestive of a mesenteric cystic lymphangioma, with a volvulus of the mesenteric pedicle creating a whirlpool sign. The patient underwent surgery and recovered well.
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issn 1930-0433
language English
publishDate 2025-10-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj-art-eeb60d4f7b514766b645794f0f5e31e22025-08-20T02:49:37ZengElsevierRadiology Case Reports1930-04332025-10-0120105281528510.1016/j.radcr.2025.06.067An unusual cause of ileal volvulus, a giant mesenteric cystic lymphangiomaNouha Boubekri, MD0Amal Akammar, MD1Hajar Ouazzani, MD2Ismail Chaouche, MD3Nizar El Bouardi, MD4Meriem Haloua5Badreddine Alami, MD6Moulay Youssef Lamrani Alaoui, MD7Mustapha Maaroufi, MD8Meryem Boubbou, MD9Radiology department, mother-child, CHU Hassan II, Fez, Morocco; Corresponding author.Radiology department, mother-child, CHU Hassan II, Fez, MoroccoRadiology department, mother-child, CHU Hassan II, Fez, MoroccoRadiology department, Specialty hospital, CHU Hassan II, Fez, MoroccoRadiology department, Specialty hospital, CHU Hassan II, Fez, MoroccoRadiology department, mother-child, CHU Hassan II, Fez, MoroccoRadiology department, Specialty hospital, CHU Hassan II, Fez, MoroccoRadiology department, Specialty hospital, CHU Hassan II, Fez, MoroccoRadiology department, Specialty hospital, CHU Hassan II, Fez, MoroccoRadiology department, mother-child, CHU Hassan II, Fez, MoroccoVolvulus of the midgut involves twisting of the small bowel around its mesenteric axis. It is frequently associated with malrotation in children, it can also be attributed to other causes such as tumors. Mesenteric lymphangiomas account for only 5% of all lymphangiomas, and small bowel lymphangiomas represent less than 1% of all cases. The combination of small bowel volvulus secondary to a lymphangioma is exceedingly rare, with only a handful of cases reported in the literature. Our case was a 3 years old patient, admitted for acute abdominal pain. The abdominal radiological explorations found a large lobulated cystic mass occupying the entire pelvic cavity and surrounding digestive structures, suggestive of a mesenteric cystic lymphangioma, with a volvulus of the mesenteric pedicle creating a whirlpool sign. The patient underwent surgery and recovered well.http://www.sciencedirect.com/science/article/pii/S193004332500603XVolvulusLymphangiomaEmergencyCT-scan
spellingShingle Nouha Boubekri, MD
Amal Akammar, MD
Hajar Ouazzani, MD
Ismail Chaouche, MD
Nizar El Bouardi, MD
Meriem Haloua
Badreddine Alami, MD
Moulay Youssef Lamrani Alaoui, MD
Mustapha Maaroufi, MD
Meryem Boubbou, MD
An unusual cause of ileal volvulus, a giant mesenteric cystic lymphangioma
Radiology Case Reports
Volvulus
Lymphangioma
Emergency
CT-scan
title An unusual cause of ileal volvulus, a giant mesenteric cystic lymphangioma
title_full An unusual cause of ileal volvulus, a giant mesenteric cystic lymphangioma
title_fullStr An unusual cause of ileal volvulus, a giant mesenteric cystic lymphangioma
title_full_unstemmed An unusual cause of ileal volvulus, a giant mesenteric cystic lymphangioma
title_short An unusual cause of ileal volvulus, a giant mesenteric cystic lymphangioma
title_sort unusual cause of ileal volvulus a giant mesenteric cystic lymphangioma
topic Volvulus
Lymphangioma
Emergency
CT-scan
url http://www.sciencedirect.com/science/article/pii/S193004332500603X
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