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Jejunal Lymphangioma Presenting as an Ovarian Mass
  1. Rory Norris, Captain1,
  2. M Stacey2,
  3. R S Rampaul3 and
  4. K L Cheung3
  1. 116 Close Medical Support Regiment (CMSR), now StR in Surgery
  2. 216 CSMR now StR in Medicine.
  3. 3Department of Surgery, Nottingham City Hospital
  1. Creag an Roin, Clachan Seil, Oban, Argyll, PA34 4TL 07974201428 rory.norris{at}yahoo.co.uk

Abstract

Intra-abdominal lymphangiomas are rare benign tumours that usually arise in the mesentery of the small bowel. We present the case of an intra-abdominal lymphangioma that involved both the jejunum and its adjacent mesentery that ultrasound and CT scanning suggested was an ovarian tumour. Laparoscopy confirmed normal ovaries and a jejunal mass which was resected at laparotomy. This circumstance has very rarely been described in the literature and represents a diagnostic dilemma of which clinicians should be aware. Intra-abdominal lymphangioma should be included with other non-gynaecological diseases in the differential diagnosis of a pelvic mass, and requires a multi-specialty approach.

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