Cystic lymphangioma of the small intestine in a young girl

We describe a case of a 12-year old girl who presented with abdominal pain. A large abdominal mass was discovered on physical examination. Preoperative studies including abdominal ultrasonography and CT scan were performed, but they could not accurately determine the nature of the tumor. At laparotomy, a large cystic tumor of the small bowel was found. Histopathologic examination revealed a tumor of cystic lymphangioma. Although lymphangiomas are rare, especially in the abdomen, they may sometimes present as abdominal pain and acute abdomen, causing complications that require emergent surgery

[ importance of sestamibi scan on the localization of parathyroid adenomas]

Introduction: The success in parathyroid surgery depends on the preoperative localization of abnormal parathyroid glands. In primary hyperparathyroidism, Sestamibi scan successfully localizes the parathyroid adenoma. By preoperative localization the duration of operation is reduced

Objective: The goal is to determine the impacts of preoperative sestamibi scan on the rate of success in the first exploration of neck and on the duration of operation in patients with primary hyperparathyroidism

Materials and Methods: In a retrospective study the medical records of 28 patients with primary hyperparathyroidism who underwent parathyroidectomy during last 5 years [2000-2004] are reviewed

Results: In 26 [92.8% of] patients the adenomas were at the same sites where were localized by the sestamibi scan. In one patient the adenoma was embedded in a thyroid nodul, and in another patient, the adenoma was ectopically located in the upper mediastinum. The duration of operation was 63±minutes. There was no serious complication

Conclusion: By preoperative localization of the abnormal parathyroid glands in first exploration for primary hyperparathyroidism, the abnormal gland can be resected successfully in shorter duration