Infected intra-abdominal cystic lymphangiomas are very rare. We report
a case of a purulent mesenteric cyst, histologically a cystic lymphan
gioma, which developed in a 1-year-old girl with marked abdominal and
high fever. Magnetic resonance imaging revealed that the huge cystic l
esion occupied the entire peritoneal cavity. It originated from the me
socolon. It was removed completely, and contained sticky pus at the ba
se where the right fallopian tube penetrated it, which indicated the f
ocus of infection. This may be the first report of a purulent mesenter
ic cyst in which the route of infection was suspected.