Abstract
A 34-year-old woman was referred to our hospital with a complaint of severe abdominal pain and underwent emergency laparotomy with a diagnosis of strangulation ileus. Multilocular yellowish lesion 8 cm in diameter within the mesentery and resultant volvulus of jejunum was observed. The jejunum 30 cm in length and mesentery, including the tumor, was resected and anastomosed. The intracystic fluid was serous, and we pathologically diagnosed lymphangioma. Mesenteric cyst is a relatively rare disease and most are pathologically lymphangioma. Intestinal volvulus induced by mesenteric lymphangioma such as our case is rare, and only seven cases have been reported previously in Japan. Complete resection is essential for cure of this disease, however, that is sometimes impossible because of coexistent severe inflammation and the poor condition of the patient in an emergency setting. Some antecedent symptoms as chronic abdominal pain were reported in previously treated cases with volvulus. Resection should be done before onset of acute abdomen with well recognition and precise preoperative diagnosis of this disease.
