{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T14:12:52Z","timestamp":1774620772438,"version":"3.50.1"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Mesenteric cystic lymphangioma (MCL) is an uncommon, benign, slow-growing abdominal tumor that is derived from the lymphatic vessels (<jats:italic toggle=\"yes\">World J Gastroenterol<\/jats:italic>. 2012;18:6328\u20136332, <jats:italic toggle=\"yes\">Radiographics.<\/jats:italic> 1994;14:729\u2013737). It is most often diagnosed in the head and neck of affected children. Rarely, a lymphangioma can develop within the small bowel (<jats:italic toggle=\"yes\">Pan Afr Med J.<\/jats:italic> 2012;12:7). The clinical presentation of patients with an abdominal MCL can range from asymptomatic to acute abdominal pain (<jats:italic toggle=\"yes\">J Korean Surg Soc.<\/jats:italic> 2012;83:102\u2013106). We report a case of small bowel volvulus caused by an MCL in a 3-year-old child who presented to the pediatric emergency department with right lower quadrant pain. The child was thought to have a perforated appendicitis and was taken to the operating room where an MCL was identified and resected. This case illustrates the need to consider MCL when a patient presents to the emergency department with right lower quadrant pain.<\/jats:p>","DOI":"10.1097\/pec.0000000000001250","type":"journal-article","created":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T21:02:26Z","timestamp":1504299746000},"page":"e46-e47","source":"Crossref","is-referenced-by-count":5,"title":["When Fever, Leukocytosis, and Right Lower Quadrant Pain Is Not Appendicitis"],"prefix":"10.1097","volume":"33","author":[{"given":"Jeanette","family":"Kurbedin","sequence":"first","affiliation":[{"name":"From the *Emergency Medicine Attending, and \u2020Division of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence","family":"Haines","sequence":"additional","affiliation":[{"name":"From the *Emergency Medicine Attending, and \u2020Division of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marla C.","family":"Levine","sequence":"additional","affiliation":[{"name":"From the *Emergency Medicine Attending, and \u2020Division of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eitan","family":"Dickman","sequence":"additional","affiliation":[{"name":"From the *Emergency Medicine Attending, and \u2020Division of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"bib1-20231023","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","year":"2012","journal-title":"World J 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mesentery: case report and a review of the literature","volume":"6","year":"2000","journal-title":"Pathol Oncol Res"},{"key":"bib10-20231023","first-page":"129","article-title":"Cystic lymphangioma of jejunal mesentery mimicking acute appendicitis: case report","volume":"52","year":"2013","journal-title":"Acta Clin Croat"},{"key":"bib11-20231023","article-title":"Mesenteric cystic lymphangioma mimicking malignancy","volume":"2014","year":"2014","journal-title":"BMJ Case Rep"}],"container-title":["Pediatric Emergency 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