Ann Surg Treat Res.  2015 Dec;89(6):330-333. 10.4174/astr.2015.89.6.330.

Result of using a biologic collagen implant (Permacol) for mesenteric defect repair after excision of a huge mesenteric lymphangioma in a child

Affiliations
  • 1Department of Pediatric Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
  • 2Department of Pediatric Surgery, Seoul National University Children's Hospital, Seoul, Korea. spkhy02@snu.ac.kr

Abstract

Mesenteric lymphangiomas, which involve near total mesentery, are extremely rare. A mesenteric lymphangioma should be treated through excision because they can cause invasion of vital structures, bleeding, or infection. After excision of a huge mesenteric lymphangioma, internal herniation may occur through a large mesenteric defect leading to intestinal volvulus, obstruction, and other life-threatening circumstances. We report a case in which a biologic collagen implant (Permacol) was used for mesenteric defect repair after excision of a huge mesenteric lymphangioma. The implant did not cause any symptoms or complications during follow-up for 4 years. When encountering large defects of mesentery, closure with implant can be a feasible choice, and Permacol could be a possible implant for closing the defect.

Keyword

Mesenteric lymphangioma; Mesenteric defect; Repair material; Prostheses and implant; Permacol

MeSH Terms

Child*
Collagen*
Follow-Up Studies
Hemorrhage
Humans
Intestinal Volvulus
Lymphangioma*
Mesentery
Collagen
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