Mesenteric Lymph Node Hamartoma (Castleman’s Disease) in Association with Superior Mesenteric Arteriovenous Fistula
Published: December 1, 2014 | DOI: https://doi.org/10.7860/JCDR/2014/.5327
Vikas Deep Goyal, Satish Kumar, Narvir Chauhan, Ankit Shukla, Rashmi Kaul
1. Assistant Professor Department of Cardiothoracic and Vascular Surgery, Dr. RPGMC Kangra at Tanda (H.P), India.
2. Assistant Professor, Department of Surgery, Dr. RPGMC Kangra at Tanda (H.P), India.
3. Assistant Professor, Department of Radiology, Dr. RPGMC Kangra at Tanda (H.P), India.
4. Senior Resident, Department of Surgery, Dr. RPGMC Kangra at Tanda (H.P), India.
5. Associate Professor, Department of Pathology, Dr. RPGMC Kangra at Tanda (H.P), India.
Correspondence
Dr. Vikas Deep Goyal,
Assistant Professor, Department of Cardiothoracic and Vascular Surgery,
Dr. RPGMC Kangra at Tanda (H.P)-176001, India.
Phone : +919736843656, E-mail : goyalv34@gmail.com
We present a case of 21-year-old female patient with history of pain abdomen and abdominal distension. The patient also had oedema of the limbs, puffiness of the face, pallor and palpable mass in the abdomen. Ultrasonography of the abdomen and computed tomographic angiogram was done and it showed presence of vascular mass along with arteriovenous malformation in the mesentry of small gut between distal branches of superior mesenteric artery and vein. Surgical excision of the mass with ligation and division of the arteriovenous malformation was done through midline laparotomy. Histopathological examination was consistent with the diagnosis of Castleman’s disease. The Patient recovered well and was discharged after seven days.
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