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Mesenteric Cyst

Cysts Mesenteric


Presentation

  • Most of them present as symptomless abdominal swellings or are found coincidentally during abdominal operations. One third of patients may present with acute abdominal pain, and few may present with chronic abdominal pain.[ncbi.nlm.nih.gov]
  • Abstract 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]
  • Presented here is a case of laparoscopic excision of a mesenteric cyst.[ncbi.nlm.nih.gov]
  • However, there are difficulties in diagnosis when it is present in an uncommon area and rare known complications.[ncbi.nlm.nih.gov]
  • RESULTS: The main presenting symptoms were abdominal pain or lump. The most common mode of presentation was acute small intestinal obstruction. USG was not conclusive in all.[ncbi.nlm.nih.gov]
Abdominal Mass
  • Plain radiographs of the abdomen were unremarkable but ultrasound examination demonstrated a large right sided unilocular cystic abdominal mass.[ncbi.nlm.nih.gov]
  • Abstract 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]
  • Physical examination commonly demonstrates a smooth, round and mobile abdominal mass. Differential diagnosis includes any abdominal cyst or tumor. Laboratory tests are usually helpless. Ultrasonography and CT scans are the best diagnostic tools.[ncbi.nlm.nih.gov]
  • The differential diagnosis should include mesenteric cyst when the patient presents with a history of multiple episodes of partial small-bowel obstruction or with an asymptomatic abdominal mass.[ncbi.nlm.nih.gov]
  • BACKGROUND: Mesenteric cysts are rare intra-abdominal masses in the paediatric age group with varied presentation, ranging from an asymptomatic mass to acute abdomen.[ncbi.nlm.nih.gov]
Chronic Abdominal Pain
  • One third of patients may present with acute abdominal pain, and few may present with chronic abdominal pain. However, mesenteric cyst presenting as inguinal hernia is extremely rare.[ncbi.nlm.nih.gov]
  • Chronic abdominal pain or acute abdomen may be accompanying to these lesions. Ultrasonography, computed tomography and magnetic resonance imaging are valuable in the diagnosis. Rarely, these lesions may be presented with rupture after trauma.[ncbi.nlm.nih.gov]
  • The clinical presentation is variable; patients may be asymptomatic or present with either acute or chronic abdominal pain. Physical examination commonly demonstrates a smooth, round and mobile abdominal mass.[ncbi.nlm.nih.gov]
  • A case of mesenteric cyst in a sixty-nine-years-old woman hospitalized for chronic abdominal pain is reported. In this case the cyst has been enucleated from the mesentery with open surgery without the need for bowel resection.[ncbi.nlm.nih.gov]
  • Cysts are usually diagnosed during routine abdominal examinations, they can present with various signs, such as acute abdominal pain, chronic abdominal pain, nausea and vomiting, or change in bowel habit.[ncbi.nlm.nih.gov]
Lower Abdominal Pain
  • Although the patient complained of lower abdominal pain, there was no tenderness or guarding. Laboratory tests indicated no abnormality except a slightly increased level of C-reactive protein (2.3 mg/dL).[ncbi.nlm.nih.gov]
  • Her only complaint was a vague, non-specific lower abdominal pain for the previous 6 months. She had an appendicectomy at the age of 12 but the rest of her medical and family history were unremarkable.[casesjournal.biomedcentral.com]
  • Case Report A 42-years old female patient was admitted for vague intermittent lower abdominal pain, mainly in hypogastrium and left iliac fossa since 1 year.[journalofmas.com]
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]
Severe Abdominal Pain
  • Case Report A 50 years male presented with sudden onset of severe abdominal pain in umbilical region since 2 days. There was history of swelling in umbilical region for one year, which aggravated on coughing.[medresearch.in]
Anuria
  • The clinical presentation was one of a largely distended abdomen coupled with anuria. The histopathologic and clinical findings suggest mesenteric cyst causing renal failure by mass effect.[ncbi.nlm.nih.gov]

Workup

  • Workup included computed tomography, which demonstrated a large cystic mass appearing to be of ovarian origin.[ncbi.nlm.nih.gov]

Treatment

  • The definite treatment of a ruptured neoplastic mesenteric cyst can, by analogy, be compared to the treatment for pseudomyxoma peritonei of appendiceal origin.[ncbi.nlm.nih.gov]
  • 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]
  • Early diagnosis and treatment yields excellent outcome.[ncbi.nlm.nih.gov]
  • The treatment of these tumors is complete surgical excision. The laparoscopic approach is replacing open abdominal surgical procedures. We present a case of successful laparoscopic resection of a mesenteric cyst using only three trocars.[ncbi.nlm.nih.gov]
  • Surgical enucleation is the treatment of choice. Laparoscopic surgical techniques are replacing or complimenting open abdominal surgical procedures. As the indications for these techniques increase, newer applications will arise.[ncbi.nlm.nih.gov]

Prognosis

  • A literature review of the clinical features, diagnosis, treatment, and prognosis of the mesenteric cyst is presented. RESULTS: This patient was treated with cytoreductive surgery and perioperative intraperitoneal chemotherapy.[ncbi.nlm.nih.gov]
  • 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]
  • 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]
  • It has been suggested that mesenteric cysts develop when the mesenteric leaves fail to fuse during development. [2] Mesenteric cysts have now been categorized into four etiologic groups: embryonic and developmental, traumatic and acquired, infective and[mjdrdypu.org]
  • Cyst contents are sometimes related to their etiologic derivation.[jiaps.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]
Sex distribution
Age distribution

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]
  • It has to be radical in order to prevent the recurrence of the disease. A case of mesenteric cyst in a sixty-nine-years-old woman hospitalized for chronic abdominal pain is reported.[ncbi.nlm.nih.gov]
  • Complete excision of all mesenteric cysts should be carried out, to prevent recurrence and possible malignant transformation.[ncbi.nlm.nih.gov]
  • 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]
  • Early management of mesenteric cyst prevents catastrophes: a single centre analysis of 17 cases. Afr J Paediatr Surg, 7(3), 140-143. doi: Crossref Export Citation 12.[degruyter.com]

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