-
Digestive Diseases and Sciences Mar 2022Mesenteric cysts are defined as a heterogeneous group of intra-abdominal cystic lesions of the mesentery or omentum that may be found in any portion of the... (Review)
Review
Mesenteric cysts are defined as a heterogeneous group of intra-abdominal cystic lesions of the mesentery or omentum that may be found in any portion of the gastrointestinal tract from the duodenum to the rectum. The clinical condition is entirely asymptomatic in many patients, particularly with small cysts. The diagnosis is typically incidental and secondary to imaging performed for other purposes. In symptomatic patients, the clinical picture is characterized by nonspecific gastrointestinal signs and symptoms. Treatment may be surgical or via interventional radiology. We report the case of a 55-year-old female patient complaining of left-sided abdominal discomfort and constipation lasting three months. An abdominal ultrasound showed the presence of a 10 × 14 × 16 cm anechoic cystic mass filling the whole anterior and left abdominal cavity, confirmed by CT and MRI. The cyst, removed laparoscopically, was histologically a simple mesothelial cyst. We reviewed the international literature over the last 10 years of all cases with mesenteric cysts > 10 cm in evaluating gastrointestinal symptoms at diagnosis, histology, performed treatment, and outcome.
Topics: Cysts; Female; Humans; Magnetic Resonance Imaging; Mesenteric Cyst; Mesentery; Middle Aged; Ultrasonography
PubMed: 35059952
DOI: 10.1007/s10620-021-07352-0 -
The Australian and New Zealand Journal... Nov 1994Mesenteric cyst is one of the rarest abdominal tumours, with approximately 820 cases reported since 1507. The incidence varies from 1 per 100,000 to 250,000 admissions.... (Review)
Review
Mesenteric cyst is one of the rarest abdominal tumours, with approximately 820 cases reported since 1507. The incidence varies from 1 per 100,000 to 250,000 admissions. 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. Abdominal pain is the major presenting symptom. Abdominal mass is found in more than 50% of cases and 40% of cases are discovered incidentally. More than one aetiological mechanism is probably involved in the development of mesenteric cysts. Mesenteric cysts have been reported from the duodenum to the rectal mesentery but are most commonly located in the ileal mesentery. Malignant cysts occur in less than 3% of cases. Enucleation of the cyst is the treatment of choice. Knowledge of these tumours is important due to the various complications associated with suboptimal surgical management. Two cases of mesenteric cysts are presented including a recurrent mesenteric cyst in a post-partum woman demonstrating the inferior technique of internal marsupialization. The association of mesenteric cyst with pregnancy is discussed.
Topics: Abdomen, Acute; Adult; Diagnosis, Differential; Female; Humans; Mesenteric Cyst; Postpartum Period; Recurrence; Tomography, X-Ray Computed
PubMed: 7945079
DOI: 10.1111/j.1445-2197.1994.tb04530.x -
Journal of Gastrointestinal Cancer Sep 2021The aim of this study is to retrospectively and multi-centerly examine the clinicopathological features of patients who were operated with the diagnosis of mesenteric...
BACKGROUND
The aim of this study is to retrospectively and multi-centerly examine the clinicopathological features of patients who were operated with the diagnosis of mesenteric cyst, which is a rare cause of intra-abdominal mass in the last 9 years, in the light of the literature.
METHODS
The patients were operated due to mesenteric cysts in the general surgery clinics of two Training and Research Hospital between 2010 and 2019; age, gender, preoperative clinical findings, computed tomography (CT) findings, localization of the mass, surgical procedure, morbidity, histopathological results, and follow-up period status were analyzed and reported electronically.
RESULTS
The patients generally applied with the complaints of abdominal pain, palpable abdominal mass, and abdominal distention. Fourteen (63.7%) of the cases were male and 8 (36.3%) were female. The mesenteric cysts were located in the small intestine in 18 cases and colon in 4 cases. In the histopathological examination of the surgical materials, simple cyst was detected in 17 cases, lymphangioma in 4 cases, colon adenocarcinoma, and simple cyst in 1 case. In the postoperative period, superficial surgical site infection developed in 3 patients and morbidity developed in 1 patient due to anastomotic leakage.
CONCLUSION
Although mesenteric cysts are rarely seen, although most of them are not histopathologically malignant, they can reach large sizes and require extensive surgical operation, and related morbidities can be seen. Therefore, mesenteric cysts should be followed carefully in the postoperative period as well as during the diagnosis and surgical treatment process.
Topics: Adenocarcinoma; Adolescent; Adult; Aged; Colonic Neoplasms; Female; Humans; Male; Mesenteric Cyst; Middle Aged; Turkey; Young Adult
PubMed: 32970308
DOI: 10.1007/s12029-020-00522-9 -
Gastroenterologia Y Hepatologia Feb 2022
Topics: Appendectomy; Humans; Incidental Findings; Male; Mesenteric Cyst; Salmonella Infections; Salmonella typhimurium; Tomography, X-Ray Computed; Young Adult
PubMed: 33199127
DOI: 10.1016/j.gastrohep.2020.08.012 -
Asian Journal of Surgery Jul 2016A mesenteric cyst is defined as a cyst that is located in the mesentery of the gastrointestinal tract and may extend from the base of the mesentery into the... (Review)
Review
A mesenteric cyst is defined as a cyst that is located in the mesentery of the gastrointestinal tract and may extend from the base of the mesentery into the retroperitoneum. A case report of a patient with mesenteric cyst is presented. In addition, a systematic review was performed of English language literature on chylous mesenteric cysts in adult humans. Of the 18 articles included in the review, there were 19 cases of chylous mesenteric cysts reported. Male to female ratio was 1.4:1 with a median age of 46 years. A preoperative diagnosis of mesenteric cyst was made in four patients based on computed tomography. All patients underwent surgery and there were no reports of recurrence on follow up. Chylous mesenteric cyst is a rare entity that needs to be recognized whenever a preliminary diagnosis of intra-abdominal cystic mass is made.
Topics: Adult; Diagnosis, Differential; Female; Humans; Laparoscopy; Mesenteric Cyst
PubMed: 23769746
DOI: 10.1016/j.asjsur.2013.04.009 -
BMJ Case Reports Apr 2013Mesenteric cyst is a rare condition. Presentation with non-typhoid spontaneous infection in an unusual area makes it even more a rare situation with mesenteric cyst. Its...
Mesenteric cyst is a rare condition. Presentation with non-typhoid spontaneous infection in an unusual area makes it even more a rare situation with mesenteric cyst. Its diagnosis is mainly based on the imaging modalities. However, there are difficulties in diagnosis when it is present in an uncommon area and rare known complications. Mesenteric cyst can present with few uncommon emergency conditions which pose difficulties in diagnosis as well as treatment options as mentioned in this case.
Topics: Abdomen, Acute; Combined Modality Therapy; Diagnosis, Differential; Female; Humans; Mesenteric Cyst; Pseudomonas Infections; Young Adult
PubMed: 23605820
DOI: 10.1136/bcr-2012-008195 -
European Radiology Aug 2003
Review
Topics: Aged; Epidermal Cyst; Humans; Male; Mesenteric Cyst; Mesentery; Tomography, X-Ray Computed
PubMed: 12942308
DOI: 10.1007/s00330-002-1796-1 -
ANZ Journal of Surgery Apr 2022
Topics: Colon, Sigmoid; Female; Humans; Kidney Pelvis; Male; Mesenteric Cyst; Ureteral Obstruction
PubMed: 34397134
DOI: 10.1111/ans.17156 -
Revista de Gastroenterologia de Mexico 2003The mesenteric cyst is a tumor of multiple origins, that undoubtedly presents with greater frequency than that referred in published series. Nevertheless, it continues... (Review)
Review
The mesenteric cyst is a tumor of multiple origins, that undoubtedly presents with greater frequency than that referred in published series. Nevertheless, it continues to be a rare entity. Due to absence of characteristic signs and symptoms, diagnosis is only made once these lesions have reached a size, sufficiently large to be palpable or when they cause compression on organs or neighboring structures. The cyst can present with chronic manifestations such as diffuse abdominal pain imprecisely located but associated with palpable mass, or due to complications of the cyst or due to compression of adjacent structures. Diagnosis is confirmed by imaging studies, such as the different ultrasound modalities, computed tomography (CT) scan, and magnetic resonance imaging (MRI). A differential diagnosis must be made to exclude other intra-abdominal or retro-peritoneal tumors. Optimum treatment is extirpation of the cyst. On occasion it is also necessary to remove the adjacent organ due to the impossibility of enucleating cyst. marsupialization of the cyst or drainage into peritoneal cavity, have high incidence of recurrence. Surgical treatment can be carried out by minimal invasion techniques.
Topics: Clinical Trials as Topic; Humans; Mesenteric Cyst
PubMed: 14702937
DOI: No ID Found -
The Medical Journal of Malaysia May 2020Chylous mesenteric cyst is a very rare case, with some vague clinical findings, and it is hard to establish the diagnosis before surgery. The most common complaints...
Chylous mesenteric cyst is a very rare case, with some vague clinical findings, and it is hard to establish the diagnosis before surgery. The most common complaints post-surgery are abdominal pain and abdominal distention. We report a case of chylous mesenteric cyst in a 4-year-old boy with chief complaint of a lump in the abdomen. Preoperative abdominal ultrasound study could not identify the origin of the mass, and suspected it as a tuberculous peritonitis. A repeat ultrasound examination revealed a multicystic mass, suspected as lymphangioma. From the exploratory laparotomy, we noted a giant mesenterial cyst (20cm in diameter) containing chylous fluid within the ileal mesentery situated 30cm from the ileocaecal junction and made an effect of diminution of the bowel lumen above it, resection and end to end anastomoses was done. Histopathology examination confirmed it as a giant mesenteric cystic lymphangioma.
Topics: Abdominal Pain; Child; Diagnosis, Differential; Humans; Male; Mesenteric Cyst; Treatment Outcome; Ultrasonography
PubMed: 32471968
DOI: No ID Found