{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T05:51:52Z","timestamp":1768456312175,"version":"3.49.0"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,10,20]],"date-time":"2020-10-20T00:00:00Z","timestamp":1603152000000},"content-version":"vor","delay-in-days":293,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>A lymphangioma is a benign congenital malformation of the lymphatic system that generally appears in the head, neck, and axillary regions. Small bowel mesenteric lymphangiomas have been described in less than 1% of lymphangiomas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>We report the case of a 20-year-old woman who presented with abdominal pain. Computed tomography revealed a large (22 cm in diameter) multi-cystic lesion inferior to the processus uncinatus of the pancreas. As the presumptive diagnosis was a lymphangioma of the jejunal mesentery, we decided to perform a laparotomy. Intraoperatively, the peritoneal cavity was found to be fully occupied by a multi-cystic lesion that arose from the root of the jejunal mesentery and the processus uncinatus of the pancreas. It was adherent to the duodenum and inseparable from the duodenum and the processus uncinatus. A subtotal stomach-preserving pancreaticoduodenectomy was performed. The tumor was diagnosed as a lymphangioma of the jejunal mesentery after histopathological analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Although lymphangioma is benign, complete resection, including resection of the involved organs, is necessary. Incomplete resection has a 10% postoperative recurrence rate and may also be associated with complications. To the best of our knowledge, this is the first reported case of a mesenteric lymphangioma treated by pancreaticoduodenectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although the lymphangioma was pathologically benign, a pancreaticoduodenectomy was required to remove it completely. When a tumor\u2019s location and size cause impingement on surrounding structures, surgeons should consider performing a pancreaticoduodenectomy to treat similar cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.10.088","type":"journal-article","created":{"date-parts":[[2020,10,23]],"date-time":"2020-10-23T02:49:26Z","timestamp":1603421366000},"page":"165-169","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Jejunal mesenteric lymphangioma treated by pancreaticoduodenectomy"],"prefix":"10.1097","volume":"77","author":[{"given":"Hirotaka","family":"Kitamura","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Yamamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinichi","family":"Kadoya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Bando","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yurie","family":"Okayama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Minato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-39-20260114","doi-asserted-by":"crossref","first-page":"A4","DOI":"10.1186\/1471-2482-13-S1-A4","article-title":"Mesenteric cystic lymphangioma in adult: a case series and review of the literature","volume":"13","author":"Aprea","year":"2013","journal-title":"BMC Surg"},{"key":"R2-39-20260114","first-page":"289","article-title":"Extended pancreaticoduodenectomy for a huge cystic-cavernous lymphangioma: a case report","volume":"13","author":"Erguney","year":"2012","journal-title":"J. Pancreas"},{"key":"R3-39-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating consensus surgical CAse REport (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"},{"key":"R4-39-20260114","doi-asserted-by":"crossref","first-page":"6328","DOI":"10.3748\/wjg.v18.i43.6328","article-title":"Lymphangioma of the small bowel mesentery: a case report and review of the literature","volume":"18","author":"Suthiwartnarueput","year":"2012","journal-title":"World J. Gastroenterol"},{"key":"R5-39-20260114","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1016\/j.ijscr.2012.10.023","article-title":"A case of mesenteric cystic lymphangioma in an adult which caused duodenal stenosis after resection","volume":"4","author":"Watanabe","year":"2013","journal-title":"Int. J. Surg. Case Rep"},{"key":"R6-39-20260114","doi-asserted-by":"crossref","first-page":"319","DOI":"10.3348\/kjr.2009.10.3.319","article-title":"Small bowel volvulus induced by mesenteric lymphangioma in an adult: a case report","volume":"10","author":"Jang","year":"2009","journal-title":"Korean J. Radiol"},{"key":"R8-39-20260114","first-page":"266","article-title":"An unusual cause of acute abdomen in adults: giant cystic lymphangioma of the pancreatic head. A clinical case and literature review","volume":"12","author":"Ghatak","year":"2011","journal-title":"J. Pancreas"},{"key":"R9-39-20260114","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1159\/000102896","article-title":"Single-centre results of treatment of retroperitoneal and mesenteric cystic lymphangiomas","volume":"24","author":"Su","year":"2007","journal-title":"Digest Surg"},{"key":"R10-39-20260114","doi-asserted-by":"crossref","first-page":"9328","DOI":"10.1186\/1757-1626-2-9328","article-title":"Benign mesenteric lymphangioma presenting as acute pancreatitis: a case report","volume":"2","author":"Akwei","year":"2009","journal-title":"Cases J"},{"key":"R11-39-20260114","doi-asserted-by":"crossref","first-page":"2145","DOI":"10.3748\/wjg.v18.i17.2145","article-title":"Small intestinal hemolymphangioma with bleeding: a case report","volume":"18","author":"Fang","year":"2012","journal-title":"World J. Gastroenterol"},{"key":"R12-39-20260114","first-page":"617","article-title":"Cystic lymphangioma of the pancreas: diagnostic and therapeutic challenges","volume":"11","author":"Fahimi","year":"2010","journal-title":"J. Pancreas"},{"key":"R13-39-20260114","doi-asserted-by":"crossref","first-page":"2100","DOI":"10.1007\/s11605-016-3191-2","article-title":"Cystic lymphangioma of the pancreas: a rare entity","volume":"20","author":"Santes","year":"2016","journal-title":"J. Gastrointest. Surg"},{"key":"R14-39-20260114","doi-asserted-by":"crossref","first-page":"E28","DOI":"10.1177\/000313481508100119","article-title":"Abdominal distention and early satiety, pancreaticoduodenectomy for lymphangioma","volume":"81","author":"Yu-Wei Chang","year":"2015","journal-title":"Am. Surg"},{"key":"R15-39-20260114","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1159\/000326943","article-title":"Cystic lymphangioma of the pancreas with spontaneous rupture: report of a case","volume":"5","author":"Kawaguchi","year":"2011","journal-title":"Case Rep. Gastroenterol"},{"key":"R16-39-20260114","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1007\/s005350200053","article-title":"Retroperitoneal lymphangioma with a duodenal lesion in an adult","volume":"37","author":"Fujishiro","year":"2002","journal-title":"J. Gastroenterol"},{"key":"R17-39-20260114","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1007\/s005950170084","article-title":"Huge cystic lymphangioma of the pancreas: report of a case","volume":"31","author":"Igarashi","year":"2001","journal-title":"Surg. Today"},{"key":"R18-39-20260114","doi-asserted-by":"crossref","first-page":"136","DOI":"10.4240\/wjgs.v6.i7.136","article-title":"Lymphoepithelial cysts and cystic lymphangiomas: under-recognized benign cystic lesions of the pancreas","volume":"6","author":"Konstantinidis","year":"2014","journal-title":"World J. Gastrointest. Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220309664?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220309664?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.10.088","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:05:45Z","timestamp":1768395945000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.10.088"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":17,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2020.10.088","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}