Mesenterial Cysts, Obstructive Ileus vs. Non-Hodgkin Lymphoma, Chronic Obstructive Ileus
Left picture: Appearance (tense masses with a smooth surface) and age (young infant) are indications of a benign malformation tumor. The diagnosis is mesenterial cysts which have been filled with chyle due to the postpartal food intake. The increase of their size has caused a stretching and compression of the adjacent intestine with a subsequent ileus. Right picture: Appearance (irregular and solid mass) and age (toddler who was healthy before) are indications of a malignant tumor in which compression of the small intestine and by adhesions and following kinking of an intestinal loop led to a chronic obstructive ileus. The diagnosis is a non-Hodgkin Lymphoma of the abdomen.
Left picture: Operative findings of an abdominal tumor in a young infant with signs of an obstructive ileus. The ileus is obvious from the stretched intestinal segment running over the three spherical masses. Right picture: Operative findings in a toddler with a chronic obstructive ileus. Kink of an intestinal loop in front of a mass situated in the mesentery, held between the thumb and the index finger. In contrast to the mass in the contralateral picture, the tumor is not tense and not regularly structured but seems solid. On the top of the left side in the picture an increasing dilatation of the small intestine is visible.