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Thursday, 13 March 2025

CASE 817: BOWEL VOLVULUS due to MESENTERIC LYMPHATIC TUMOR, Dr PHAN THANH HẢI, Dr TRẦN NGÂN CHÂU, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 15 year-old asthenic thin boy with crisii of nausea and colicky pain for ( 3 ? ) years. Failed in management of gastritis HP infected.


Ultrasound detected a malrotated mass with mesenteric vessels inside going to the clockwise.


Beside there was a hyperechoic mass in the pelvis with vessels in the mass.


MSCT confirmed the bowel malrotation and a lipoma in the pelvis.





Surgery was done to remove the #12,5x11mm pelvic mass which was a microcystic lymphatic malformation of the mesentery. It adhered the bowel and caused the bowel volvulus.

The boy gained 10 kilogram and had no pain nor nausea postop.



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