Presentation
A rare case of a benign mesothelial cyst arising from the mesentery of the descending colon is presented. A 73 year old female presented with an asymptomatic mesenteric cyst on CT scan. [ncbi.nlm.nih.gov]
Entire Body System
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Hunting
Pediatr Surg Int 2001;17:6613.[16] Fleet MS, de la Hunt MN. Intestinal atresia with gastroschisis:a selective approach to management. J Pediatr Surg2000;35:13235.[17] Sapin E, Carricaburu E, De Boissieu D, et al. [docslide.net]
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Soft Tissue Mass
Grossly, 5 4 mm soft tissue mass was received. The cut surface was gray-white and showed small cystic spaces. [mjdrdypu.org]
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Pathologist
Sasturkar CJ, Chief Pathologist, 5 Dr. [medresearch.in]
Gastrointestinal
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Abdominal Mass
Mesenteric cysts are uncommon abdominal masses in children. They occur most frequently in the small bowel mesentery and often contain chylous fluid. [ncbi.nlm.nih.gov]
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Right Lower Quadrant Tenderness
On initial examination, she was found to have significant right lower quadrant tenderness. Workup included computed tomography, which demonstrated a large cystic mass appearing to be of ovarian origin. [ncbi.nlm.nih.gov]
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Persistent Vomiting
vomiting after every feeding and problemswith defecation. [docslide.net]
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Tenderness in the Right Upper Quadrant
Abdominal examination revealed only a localized tenderness at the right upper quadrant. The bowel sounds were normoactive. Rectal examination showed stool without blood. There was no significant axillary-rectal temperature difference. [casereports.in]
Musculoskeletal
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Costovertebral Angle Tenderness
The patient had voluntary guarding but no rebound tenderness or costovertebral-angle tenderness. [mdmag.com]
Urogenital
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Vaginal Discharge
She reported no recent fevers, change in weight, chest pain, shortness of breath, coughing, dysuria, or vaginal discharge. [mdmag.com]
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Cervical Motion Tenderness
A rectal examination found trace blood and stool in the rectal vault, and a pelvic examination revealed no vaginal discharge or cervical motion tenderness. [mdmag.com]
Workup
Workup included computed tomography, which demonstrated a large cystic mass appearing to be of ovarian origin. [ncbi.nlm.nih.gov]
Radiological workup in mesenteric cysts : insight of a case report. Clin Imaging. 2001;25:47-49. Pola t C, Ozacmak ID, Yucel T, Ozman Y. Laparoscopic resection of giant mesenteric cyst. J Laparoendosc Adv Surg Tech. 2000;10:337-339. [casereports.in]
If typical endosonographic images of an anechoic, septated lesion within colonic submucosa are obtained, further workup or treatment may not be necessary if the patient is asymptomatic. [researchgate.net]
Treatment
We describe the treatment and outcome of a patient who underwent cytoreductive surgery with hyperthermic intraperitoneal chemotherapy for the treatment of an incompletely resected mucinous cystadenocarcinoma originating from the colonic mesentery. [ncbi.nlm.nih.gov]
Prognosis
A literature review of the clinical features, diagnosis, treatment, and prognosis of the mesenteric cyst is presented. This patient was treated with cytoreductive surgery and perioperative intraperitoneal chemotherapy. [ncbi.nlm.nih.gov]
Following surgery, patient prognosis is excellent and recurrence is low. [mdmag.com]
Prognosis is excellent after surgery. Most children with mesenteric and omental cysts who undergo surgery have no long-term complications. Complications Wound infection—occurs rarely Recurrence—occurs rarely Updated: 11/2016 Author: Romeo C. [eapsa.org]
The prognosis of patients operated in a timely manner is good with no perioperative mortality and a very low morbidity and recurrence rate. [7] Acknowledgments We thank all staff members of Department of Surgery, Jawaharlal Nehru Medical College, DMIMSU [tropicalgastro.com]
Etiology
They are considered as benign intra-abdominal tumors with an unknown etiology. Symptoms are not specific and knowledge of such condition is essential in order to establish a proper management. [ncbi.nlm.nih.gov]
Cyst contents are sometimes related to their etiologic derivation. [mdmag.com]
Etiology lymphatic: simple lymphatic cyst and lymphangioma mesothelial: simple mesothelial cyst, benign cystic mesothelioma, and malignant cystic mesothelioma enteric: enteric cyst and enteric duplication cyst urogenital mature cystic teratoma (dermoid [radiopaedia.org]
The etiology of these cysts still remains unclear. It is often discussed that they are a result of degeneration of mesenteric lymphatics, or a congenital anomaly. [medresearch.in]
[…] with the embryonic retroperitoneal lymph sac; this makes them analogous to cystic hygromas, which arise in the neck in association with the jugular lymph sac. [13] Another proposed etiology is lymphatic obstruction [5] ; however, experimental occlusion [emedicine.medscape.com]
Epidemiology
Lymphatic tissue : Part of the circulatory system that collects extra fluid (called lymph) from various tissues and delivers it back to the venous system Epidemiology Mesenteric and omental cysts are rare but are seen in 1 in every 100,000 adult hospital [eapsa.org]
[…] mesentery of the colon. [18] Omental cysts are confined to the lesser or greater omentum. [6] Congenital omental cysts that present as abdominal distention have been reported. [19] Omental cysts may be a result of dermoid cysts [20] or teratomas. [21] Epidemiology [emedicine.medscape.com]
Pathophysiology
Pathophysiology Mesenteric and omental cysts can be either simple or multiple and either unilocular or multilocular, and they may contain hemorrhagic, serous, chylous, or infected fluid. [7] The fluid is serous in ileal and colonic cysts and is chylous [emedicine.medscape.com]
Prevention
Any incidental mesenteric cyst diagnosed during radiological examination should be removed completely, even if it has been asymptomatic, to prevent potential life-threatening complications. [ncbi.nlm.nih.gov]
Early management of mesenteric cyst prevents catastrophes: A single centre analysis of 17 cases. [afrjpaedsurg.org]
In order to prevent recurrence, complete resection should be performed. Key words: Mesenteric cyst — Laparoscopy — Cyst resection This is a preview of subscription content, log in to check access. Preview Unable to display preview. [link.springer.com]