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]
The lack of characteristic clinical features and radiological signs may present great diagnostic difficulties. The cyst may present in one of three ways: (i) non‐specific abdominal features; (ii) an incidental finding; or (iii) an acute abdomen. [doi.org]
Entire Body System
- Weight Loss
She did not describe any changes in intestinal transit, anorexia, asthenia or associated weight loss. [websurg.com]
Presenting symptoms and signs include a palpable abdominal mass, vomiting, weight loss, abdominal pain, anaemia, melaena, haematemesis, or fever. [ots1.narod.ru]
They may cause nonspecific symptoms such as abdominal pain, nausea, vomiting, weakness, weight loss, diarrhoea, constipation, cramps and anorexia rarely. Symptoms due to mesenteric cysts are related to size and localization of the lesion. [medresearch.in]
- Lymphadenopathy
NHL is the most common cause of lymphadenopathy and usually there are other sites with lymphoma. Carcinoid Presents as a spiculated mesenteric mass often with a central calcification. It metastasize to the liver. [radiologyassistant.nl]
The preoperative abdominal CT scan didn’t reveal any metastases or lymphadenopathy, but showed a 9x8 cm cystic mass in the right pelvic region that was considered to be a urinary bladder diverticulum as it seemed to have continuity with the wall of the [giornalechirurgia.it]
- Arachnodactyly
Comparison of 20 patients from North America with patients from Hawaii and Japan. 896 ページ - Genetic linkage of the Marfan syndrome, ectopia lentis, and congenital contractural arachnodactyly to the fibrillin genes on chromosomes 15 and 5. [books.google.com]
- Pathologist
Sasturkar CJ, Chief Pathologist, 5 Dr. [medresearch.in]
- Weakness
They may cause nonspecific symptoms such as abdominal pain, nausea, vomiting, weakness, weight loss, diarrhoea, constipation, cramps and anorexia rarely. Symptoms due to mesenteric cysts are related to size and localization of the lesion. [medresearch.in]
Gastrointestinal
- 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]
- Vomiting
Figure 1 Abdominal examination of a 37-year-old woman with a week-long history of nausea and vomiting revealed only midabdominal fullness. [nejm.org]
In this report, a 72-year old female was referred to our hospital, suffering from acute abdominal pain, several episodes of nausea and vomiting. Clinical abdominal examination revealed an irreducible recurrent umbilical hernia. [ncbi.nlm.nih.gov]
Clinically, patients with these cysts present with abdominal pain, distention, vomiting, and nausea, which is the common symptomology for abdominal disease. [mdmag.com]
They can vary in size and children commonly present with abdominal pain, vomiting and/or a mass in the abdomen. They are often diagnosed by abdominal CT scan or ultrasound. [surgery4children.com]
- Nausea
Figure 1 Abdominal examination of a 37-year-old woman with a week-long history of nausea and vomiting revealed only midabdominal fullness. [nejm.org]
In this report, a 72-year old female was referred to our hospital, suffering from acute abdominal pain, several episodes of nausea and vomiting. Clinical abdominal examination revealed an irreducible recurrent umbilical hernia. [ncbi.nlm.nih.gov]
- Diarrhea
What to call the doctor for : Call your doctor for worsening belly pain, fever, vomiting, diarrhea, problems with urination or if the wounds are red or draining fluid. [eapsa.org]
The symptoms are variable, non-specific and include pain (82%), nausea and vomiting (45%), constipation (27%) or diarrhea (6%). [jiaps.com]
She had no vomiting or diarrhea, and her last bowel movement occurred 3 days earlier and was nonbloody. She reported no recent fevers, change in weight, chest pain, shortness of breath, coughing, dysuria, or vaginal discharge. [mdmag.com]
Less than 10% of patients with carcinoid will develop the carcinoid syndrome, caused by the overproduction of serotonin, which can lead to symptoms of cutaneous flushing, diarrhea and bronchoconstriction. [radiologyassistant.nl]
Eyes
- Ectopia Lentis
Comparison of 20 patients from North America with patients from Hawaii and Japan. 896 ページ - Genetic linkage of the Marfan syndrome, ectopia lentis, and congenital contractural arachnodactyly to the fibrillin genes on chromosomes 15 and 5. [books.google.com]
Urogenital
- Adnexal Mass
The report was inconclusive of the exact source of the mass and suspected a possible broad ligament origin (Figure 1). The CT (Chest and abdomen) scan showed no evidence of disease at any other site outside the left adnexal mass (Figure 2). [oatext.com]
Neurologic
- Asthenia
She did not describe any changes in intestinal transit, anorexia, asthenia or associated weight loss. [websurg.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]
Colonoscopy
- Polyps
Since the polyp was completely infarcted, exact morphological categorization could not be done. [jiaps.com]
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]
This video shows the laparoscopic treatment of bowel occlusion after gastric bypass. [websurg.com]
This report aims to discuss current diagnostic and treatment strategies. A 35-year-old woman presented with non-specific abdominal pain. CT revealed a 5×5×3 cm septated abdominal cyst ( figure 1 ). [casereports.bmj.com]
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 is poor. However, when low-grade mucinous adenocarcinoma of the appendix spreads to the peritoneal cavity, the consequence is typically pseudomyxoma peritonei, which is a distinct tumor with a better prognosis. [radiologyassistant.nl]
Etiology
Cyst contents are sometimes related to their etiologic derivation. [mdmag.com]
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]
[…] 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
[…] intestines (Figure 2) Figure 2. https://upload.wikimedia.org/wikipedia/commons/4/44/Sobo_1909_564.png 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 [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]
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. [content.sciendo.com]