Hemorrhagic mesenteric cystic lymphangioma presenting with acute lower abdominal pain: The diagnostic clues on MR Imaging

Daisuke Okamoto, Kousei Ishigami, Kengo Yoshimitsu, Hiroyuki Irie, Tsuyoshi Tajima, Akihiro Nishie, Masakazu Hirakawa, Yasuhiro Ushijima, Yunosuke Nishihara, Yoshihiro Kakeji, Hiroshi Honda

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)

Abstract

A 32-year-old woman complained of acute lower abdominal pain. Computed tomography showed a complex multilocular cystic mass at the right adnexal region. Magnetic resonance imaging demonstrated the origin of the mass to be the small bowel mesentery. Chemical-shift images detected septal fat of the cystic mass and suggested a small amount of fat within the locules of the cyst. A cystic tumor of the mesentery such as cystic lymphangioma, hemangioma, cystic mesothelioma, and dermoid was included in the differential diagnoses. The diagnosis of a hemorrhagic mesenteric cystic lymphangioma was confirmed at surgery and pathologic analysis. Cystic lymphangioma should be included in the differential diagnosis of acute abdominal pain. The detection of septal fat may be helpful in the diagnosis of cystic lymphangioma when it shows unusual radiological appearances.

Original languageEnglish
Pages (from-to)327-330
Number of pages4
JournalEmergency Radiology
Volume16
Issue number4
DOIs
Publication statusPublished - Jul 2009

All Science Journal Classification (ASJC) codes

  • Emergency Medicine
  • Radiology Nuclear Medicine and imaging

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