Abdominal pain with bilious emesis is an ominous clinical presentation with many possible causes. We describe a previously healthy 4-year-old boy who presented with these symptoms and ultrasound findings of fluid throughout most of the abdominal cavity. Computed tomography imaging revealed a large cystic mass (21-by-13 cm) associated with a small bowel obstruction due to volvulus. A laparoscopic exploration was undertaken, revealing a large mass arising from the small intestinal mesentery and causing a segmental volvulus of the small bowel. Conversion to mini-laparotomy allowed reduction of the volvulus and segmental resection of the small bowel associated with a giant mesenteric lymphatic malformation. This case describes a rare cause of intestinal volvulus due to a mesenteric lymphatic malformation.
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机译：胆汁性呕吐引起的腹部疼痛是一种不祥的临床表现，有许多可能的原因。我们描述了一个以前健康的4岁男孩，他在整个腹腔中都出现了这些症状和体液的超声检查结果。计算机断层扫描成像显示，由于肠扭转，大的囊性肿块（21 x 13厘米）与小肠梗阻有关。进行腹腔镜检查，发现小肠系膜引起大量肿块，并引起小肠段性肠扭转。改用小型腹腔镜手术可以减少肠扭转，并切除与大肠系膜淋巴畸形相关的小肠。该病例描述了由于肠系膜淋巴畸形引起的肠肠扭转的罕见原因。
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