{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T13:12:34Z","timestamp":1779196354296,"version":"3.51.4"},"reference-count":17,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T00:00:00Z","timestamp":1779062400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reports"],"abstract":"<jats:p>Background and Clinical Significance: Cystic mesenteric lymphangiomas are rare benign growths of the mesenteric lymphatic vessels. This entity poses a diagnostic dilemma due to the wide array of symptoms with which patients present. Usually, these patients are diagnosed before the age of 5 years old. Case Presentation: In this report, we present a young adult male with longstanding gastrointestinal complaints and a small bowel obstruction who subsequently underwent exploratory laparotomy with significant bowel resection, and pathology revealed a diagnosis of cystic mesenteric lymphangioma. Conclusions: The presence of small bowel obstruction without prior abdominal surgeries should raise suspicion of congenital pathologies and warrants prompt surgical intervention.<\/jats:p>","DOI":"10.3390\/reports9020154","type":"journal-article","created":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T10:25:16Z","timestamp":1779099916000},"page":"154","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report of Cystic Mesenteric Lymphangioma as a Cause of Small Bowel Obstruction in an Adult with a Virgin Abdomen"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9177-4316","authenticated-orcid":false,"given":"Niharika","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Surgery, Stony Brook University Hospital, Stony Brook, NY 11794, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Petrancosta","sequence":"additional","affiliation":[{"name":"Department of Surgery, Stony Brook University Hospital, Stony Brook, NY 11794, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunjida","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Pathology, Stony Brook University Hospital, Stony Brook, NY 11794, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Surgery, Stony Brook University Hospital, Stony Brook, NY 11794, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"110435","DOI":"10.1016\/j.ijscr.2024.110435","article-title":"A rare pediatric case: Mesenteric cystic hygroma in a 5-year-old child","volume":"124","author":"Jaweesh","year":"2024","journal-title":"Int. J. Surg. Case Rep."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/j.ijscr.2019.07.051","article-title":"Cystic mesenteric lymphangioma: A case report","volume":"61","author":"Thiam","year":"2019","journal-title":"Int. J. Surg. Case Rep."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Li, J., Luo, L., Liu, Y., Li, W., and Wei, X. (2025). Mesenteric lymphangioma in childhood: A case report and narrative literature review. Front. Oncol., 15.","DOI":"10.3389\/fonc.2025.1541445"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1016\/j.jpedsurg.2015.11.021","article-title":"Clinical features of mesenteric lymphatic malformation in children","volume":"51","author":"Kim","year":"2016","journal-title":"J. Pediatr. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"bcr2014203560","DOI":"10.1136\/bcr-2014-203560","article-title":"Mesenteric cystic lymphangioma mimicking malignancy","volume":"2014","author":"Hureibi","year":"2014","journal-title":"BMJ Case Rep."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1016\/S0022-3468(96)90673-9","article-title":"Abdominal cystic lymphangioma in children: Benign lesions that can have a proliferative course","volume":"31","author":"Steyaert","year":"1996","journal-title":"J. Pediatr. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/j.humpath.2005.02.007","article-title":"Intraabdominal cystic lymphangiomas obscured by marked superimposed reactive changes: Clinicopathological analysis of a series","volume":"36","author":"Hornick","year":"2005","journal-title":"Hum. Pathol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1164","DOI":"10.1016\/S0022-3468(99)90590-0","article-title":"25 years\u2019 experience with lymphangiomas in children","volume":"34","author":"Alqahtani","year":"1999","journal-title":"J. Pediatr. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"23","DOI":"10.21037\/acr-23-143","article-title":"Mesenteric cystic lymphatic malformation: A rare case report and review of the literature","volume":"8","author":"Li","year":"2024","journal-title":"AME Case Rep."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.jss.2022.12.026","article-title":"Intra-abdominal Cystic Lymphangiomas: The Vanderbilt Experience","volume":"285","author":"Mede","year":"2023","journal-title":"J. Surg. Res."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"2899","DOI":"10.1016\/j.asjsur.2023.01.103","article-title":"Abdominal cystic lymphangioma presenting fever in an adult","volume":"46","author":"Chen","year":"2023","journal-title":"Asian J. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1111\/j.1368-5031.2005.00554.x","article-title":"Mesenteric cystic lymphangioma: Unusual cause of intra-abdominal catastrophe in an adult","volume":"59","author":"Losanoff","year":"2005","journal-title":"Int. J. Clin. Pract."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"108083","DOI":"10.1016\/j.ijscr.2023.108083","article-title":"Small bowel volvulus and mesenteric ischemia induced by mesenteric cystic lymphangioma in an adult and literature review; a case report","volume":"105","author":"Azimi","year":"2023","journal-title":"Int. J. Surg. Case Rep."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"104460","DOI":"10.1016\/j.amsu.2022.104460","article-title":"Intra-abdominal cystic lymphangioma in adults: A case series of 32 patients and literature review","volume":"81","author":"Maghrebi","year":"2022","journal-title":"Ann. Med. Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1016\/S0021-7697(08)73752-9","article-title":"Surgical therapy of abdominal cystic lymphangioma in adults and children","volume":"145","author":"Bezzola","year":"2008","journal-title":"J. Chir."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.jss.2018.07.031","article-title":"Symptom Resolution and Volumetric Reduction of Abdominal Lymphatic Malformations With Sclerotherapy","volume":"233","author":"Madsen","year":"2019","journal-title":"J. Surg. Res."},{"key":"ref_17","first-page":"499","article-title":"Intralesional bleomycin injection treatment of intra-abdominal lymphangiomas presenting with acute abdomen in children","volume":"29","author":"Hakalmaz","year":"2023","journal-title":"Turk. J. Trauma Emerg. Surg."}],"container-title":["Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2571-841X\/9\/2\/154\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T12:45:15Z","timestamp":1779194715000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2571-841X\/9\/2\/154"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,18]]},"references-count":17,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,6]]}},"alternative-id":["reports9020154"],"URL":"https:\/\/doi.org\/10.3390\/reports9020154","relation":{},"ISSN":["2571-841X"],"issn-type":[{"value":"2571-841X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,18]]}}}