Mesenteric Chylolymphatic Cyst of Terminal Ileum in a Child: A Case Report
Among mesenteric cysts chylolymphatic cyst is a rare one. Clinical presentation can range from asymptomatic to features of bowel obstruction. We encountered a case of a 4-year-old boy who presented with pain...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Rajiv Gandhi University of Health Sciences
2025-01-01
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| Series: | RGUHS Journal of Medical Sciences |
| Online Access: |
https://journalgrid.com/view/article/rjms/12434456 |
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| Summary: | Among mesenteric cysts chylolymphatic cyst is a rare one.
Clinical presentation can range from asymptomatic to features of bowel
obstruction. We encountered a case of a 4-year-old boy who presented with
pain in the abdomen fever and vomiting for the past two days. On per
abdominal examination a mobile soft mass measuring 10 X 9 cm was palpable in
the right iliac fossa extending to the umbilical and right lumbar regions.
Ultrasonography and CT of the abdomen revealed a cystic lesion in the right
lower abdomen compared to small intestine. Intraoperatively a 15 X 10 cm
cyst was found coming out of the terminal ileum mesentery adjacent to the
ileal wall. Enlarged lymphatic vessels were observed entering the
chylolymphatic cyst. Along with ileo-ileal anastomosis and removal of the
affected ileal segment the chylolymphatic cyst was removed. The fluid inside
the cyst was white and milky which is typical of a chylolymphatic cyst.
Histopathological examination confirmed the diagnosis revealing lymphoid
aggregates within the cyst wall. The postoperative period was uneventful. |
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| ISSN: | 2231-1947 2581-7248 |