CLINICAL IMAGE
Acute small bowel volvulus in a 2-month-old infant Roderick Wouters, Menno Raber & Robertine van Baren Department of Pediatric Surgery, University Medical Center Groningen, Groningen, Netherlands
Correspondence Roderick Wouters, Department of Pediatric Surgery, BA50, University Medical Center Groningen, Hanzeplein 1, 9700RB Groningen, The Netherlands. Tel: +31-50-3612306; Fax: +31-50-3611745; E-mail: [email protected] Funding Information No funding information provided.
Key Clinical Message Abdominal cystic lymphangiomas are rare and occur secondary to congenital malformation of the lymphatics, mostly in the mesenterium. Acute or chronic volvulus of the small bowel may occur by traction of the lymphangioma. Therapy includes resection of the lymphangioma and of the small bowel involved. Keywords Cyst, laparotomy, lymphangioma, small bowel, volvulus.
Received: 18 December 2013; Accepted: 29 January 2014 Clinical Case Reports 2014; 2(3): 115–116 doi: 10.1002/ccr3.72
Question What is the cause of this volvulus? A. Lymphoma. B. Cystic lymphangioma. C. Mesothelioma. D. Dermoid cyst.
laparotomy was performed and a volvulus of the small bowel was seen. The lead point of this volvulus was a 7-cm benign cystic lymphangioma, located 15-cm distal of Treitz’ ligament. The vital bowel was repositioned and the cyst was resected including a small section of jejunum, which was anastomosed end-to-end. The patient made an uneventful recovery.
Answer: B, cystic lymphangioma.
Conflict of Interest Explanation
None declared.
On presentation, X-radiograph of the abdomen displayed a distended small bowel. A transverse supraumbilical
ª 2014 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
115
Acute small bowel volvulus
116
R. Wouters et al.
ª 2014 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.
Acute small bowel volvulus in a 2-month-old infant Roderick Wouters, Menno Raber & Robertine van Baren Department of Pediatric Surgery, University Medical Center Groningen, Groningen, Netherlands
Correspondence Roderick Wouters, Department of Pediatric Surgery, BA50, University Medical Center Groningen, Hanzeplein 1, 9700RB Groningen, The Netherlands. Tel: +31-50-3612306; Fax: +31-50-3611745; E-mail: [email protected] Funding Information No funding information provided.
Key Clinical Message Abdominal cystic lymphangiomas are rare and occur secondary to congenital malformation of the lymphatics, mostly in the mesenterium. Acute or chronic volvulus of the small bowel may occur by traction of the lymphangioma. Therapy includes resection of the lymphangioma and of the small bowel involved. Keywords Cyst, laparotomy, lymphangioma, small bowel, volvulus.
Received: 18 December 2013; Accepted: 29 January 2014 Clinical Case Reports 2014; 2(3): 115–116 doi: 10.1002/ccr3.72
Question What is the cause of this volvulus? A. Lymphoma. B. Cystic lymphangioma. C. Mesothelioma. D. Dermoid cyst.
laparotomy was performed and a volvulus of the small bowel was seen. The lead point of this volvulus was a 7-cm benign cystic lymphangioma, located 15-cm distal of Treitz’ ligament. The vital bowel was repositioned and the cyst was resected including a small section of jejunum, which was anastomosed end-to-end. The patient made an uneventful recovery.
Answer: B, cystic lymphangioma.
Conflict of Interest Explanation
None declared.
On presentation, X-radiograph of the abdomen displayed a distended small bowel. A transverse supraumbilical
ª 2014 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
115
Acute small bowel volvulus
116
R. Wouters et al.
ª 2014 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.
