Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
권호 표지
DOI QR코드

DOI QR Code

A case of midgut volvulus due to mesenteric lymphangioma, not associated with malrotation in a 13-year-old boy

13세남아에서 발견된 창자 회전이상이 동반되지 않은 낭성 림프관종에 의한 창자꼬임 1례

  • Lee, Jung Ho (Departments of Pediatrics, College of Medicine, Soonchunhyang University) ;
  • Choi, Seok Ju (Departments of Pediatrics, College of Medicine, Soonchunhyang University) ;
  • Kim, Tae Yoon (Departments of Surgery, College of Medicine, Soonchunhyang University) ;
  • Kim, Young Tong (Departments of Radiology, College of Medicine, Soonchunhyang University) ;
  • Cho, Hyun Deuk (Departments of Pathology, College of Medicine, Soonchunhyang University) ;
  • Park, Joon Soo (Departments of Pediatrics, College of Medicine, Soonchunhyang University)
  • 이정호 (순천향대학교 의과대학 소아과학교실) ;
  • 최석주 (순천향대학교 의과대학 소아과학교실) ;
  • 김태윤 (순천향대학교 의과대학 외과학교실) ;
  • 김영통 (순천향대학교 의과대학 진단방사선학과교실) ;
  • 조현득 (순천향대학교 의과대학 임상병리학교실) ;
  • 박준수 (순천향대학교 의과대학 소아과학교실)
  • Received : 2007.10.15
  • Accepted : 2007.12.09
  • Published : 2008.04.15
Download PDF
⟨ Previous Next ⟩

Abstract

A 13-year-old boy, complained of an intermittent suddenly aggravated severe abdominal pain and diarrhea, was diagnosed as a small bowel volvulus without an intestinal malrotation, due to mesenteric lymphangioma. He took abdominal ultrasonography, abdominal CT scanning, upper gastrointestinal study and got an operation. The small bowel volvulus with cystic lymphangioma was confirmed by gross and pathologic findings.

13세 남자 환아가 반복적이고, 발작적으로 발생하는 복통과 설사를 주소로 내원하였다. 복부 초음파검사, 복부 전산화 단층촬영검사와 상부 위장관 검사를 통하여 창자 회전이상은 동반되지 않은 작은 창자 꼬임을 진단하였다. 수술을 통해서 치료를 하였으며 병리, 조직 검사를 통하여 낭성 림프관종에 의한 작은 창자 꼬임으로 밝혀졌기에 보고하는 바이다.

Keywords

References

  1. Mori H, Hayashi K, Futagawa S, Uetani M, Yanagi T, Kurosaki N. Vascular compromise in chronic volvulus with midgut malrotation. Pediatr Radiol 1987;17:277-81 https://doi.org/10.1007/BF02388238
  2. Pamela JO, Barry H. Pediatric surgical emergencies. Clin Pediatr Emerg Med 2002;3:3-13 https://doi.org/10.1016/S1522-8401(02)90012-1
  3. Y. Kitano, K. Hashizume, M. Ohkura. Segmental smallbowel volvulus not associated with malrotation in children. Pediatr Surg International 1995;10:335-8
  4. Black PR, Muller D, Crow J. Morris RC, Husain AN. Mesenteric defects as a cause of intestinal volvulus without malrotation and as the possible primary etiology of intestinal atresia. J Pediatr Surg 1994;29:1339-43 https://doi.org/10.1016/0022-3468(94)90111-2
  5. TraubiciJ, Daneman A, Wales P, Gibbs D, Fecteau A, Kim P. Mesenteric lymphatic malformation associated with small bowel volvulus-two case and a review of literature. Pediatr Radiol 2002;32:362-5 https://doi.org/10.1007/s00247-002-0658-y
  6. Yoon HK, Han BK. Chronic midgut volvulus with mesenteric lymphangioma: a case report. Pediatr Radiol 1998;28: 611-8 https://doi.org/10.1007/s002470050429
  7. Jeffrey MH, Thomas B, Linda N, Michael R. Common gastrointestinal problems and emergencies in neonates and children. Clin Fam Pract 2004;6:731-54 https://doi.org/10.1016/j.cfp.2004.03.014
  8. Lin JH, Lou CC, Wang KL. Intestinal malrotation and midgut volvulus: a Ifi-year review. J Foermos Med Assoc 1995;94:178-81
  9. Singh S, Baboo ML, Pathak IC. Cystic lymphangioma in children: report of 32 cases including lesions at rare sites. Surgery 1971;69:947-51
  10. Roisman I, Manny J, Fields S, Shiloni E. Intra-abdominal lymphangioma. Br J Surg 1989;76:485-9 https://doi.org/10.1002/bjs.1800760519
  11. Kosir MA, Sonnino RE, Gauderer MW. Pediatric abdominal lymphangiomas: a plea for early recognition. J Pediatr Surg 1991;26:1309-13 https://doi.org/10.1016/0022-3468(91)90607-U
  12. Steyaert H, GuitardJ, Moscovici J. Juricic M, Vaysse P, Juskiewenski S. Abdominal cystic lymphangioma m children: benign lesions that can have a proliferative course. J Pediatr Surg 1996;31:677-80 https://doi.org/10.1016/S0022-3468(96)90673-9
  13. Harsh K, Raju S, Madhusudhan KS. Chronic midgut volvulus with mesenteric lymphangioma: A case report and review of literature. Eur J Radiol Extr 2004;52:115-7 https://doi.org/10.1016/j.ejrex.2004.09.010
  14. O'Neill JA, Rowe MI, Grosfeld JL, Fonkalsrud EW, Coran AG. Chronic midgut volvulus. Pediatr Surg 1998:1204-12