Case report: elective removal of a large mesenteric cyst—our approach

Razi, Kasra; Al-Asaad, Obaida; Mv, Rao

doi:10.1093/jscr/rjx063

Cited by 6 publications

(5 citation statements)

References 8 publications

(18 reference statements)

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“…Standard therapy for mesenteric cysts is total resection. This procedure could be performed laparoscopically or via laparotomy [ 3 ]. Recurrence and morbidity have been linked to partial excision [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…The clinical examination findings are determined by the size of the cyst. The diagnosis is based on a thorough clinical examination as well as radiological modalities such as ultrasonography and computed tomography (CT) scans [ 2 , 3 , 5 ]. Our patient presented with an unusual combination of a mesentery cyst and acute appendicitis; appendectomy and enucleation of the cyst were done via laparotomy; this co-occurrence was found only in two children during the literature review.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Adult with concurrent mesenteric cyst and acute appendicitis: a case report

Cervantes

Lopez

Acevedo

et al. 2023

Journal of Surgical Case Reports

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Mesenteric cysts are uncommon intra-abdominal lesions that account for only one in every 100 000 adult hospitalizations. Their diagnosis is based on a comprehensive clinical examination as well as radiological modalities such as ultrasonography and computed tomography (CT) scans, and it is usually a clinical challenge because of non-specific symptoms. We present our first case of a 51-year-old man with a simple mesenteric cyst accompanying acute appendicitis diagnosed by CT scan of the abdomen and treated by exploratory laparotomy, complete enucleation of the cyst and appendectomy with a 10 month follow-up without complications or recurrence. This type of presentation has not been thoroughly investigated, with only two children reported during our literature review. Even if there is a high level of suspicion, a CT scan is required for confirmation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adult with concurrent mesenteric cyst and acute appendicitis: a case report

Cervantes

Lopez

Acevedo

et al. 2023

Journal of Surgical Case Reports

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show abstract

“…При этом следует учитывать, что наиболее эффективен вариант полного удаления кисты в пределах здоровых тканей единым блоком, без вскрытия ее просвета, что минимизирует риск возникновения рецидива. Кроме того, в случае осложненного течения может возникнуть необходимость резекции прилегающих к кисте структур [15]. На сегодняшний день остается актуальным вопрос, какой операционный доступ является наиболее подходящим для данной нозологической категории.…”

Section: Discussionunclassified

Non-organ mesothelial cyst of the abdominal cavity. Clinical observation

Matveev,

Danilov,

Karnaukhov

et al. 2023

Onkol. koloproktol.

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Non-organ cysts of mesothelial origin are one of the groups of cystic neoplasms with rare and difficult-to-diagnose pathology of the abdominal cavity and retroperitoneal space. Today, the etiological factors remain the subject of interdisciplinary discussions, their clinical manifestations are non-specific, and their differential diagnosis is diverse. Often, these neoplasms become accidentally detected during surgical interventions or during routine diagnostic examinations. Currently, there are no uniform standards or recommendations to treat such diseases, however, according to literature sources, there is a consensus that mesothelial cysts of the retroperitoneal space and abdominal cavity should be completely removed within healthy tissues. Today, modern medical achievements and accumulated long-term experience allow us to successfully diagnose and perform radical treatment for any localization of such neoplasms. We present our own experience from the clinical practice of successful surgical treatment of non-organ cysts of mesothelial origin.

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“…Mesenteric cysts are rare intra-abdominal benign tumors (1 in 100,000 cases in adults) with various clinical presentations. [1,2] They commonly originate from the small bowel mesentery, although a proportion has been found to originate from the mesocolon, and retroperitoneum. [1,3] The formation of mesenteric cysts depends on the histologic origin, where they could be classified into cysts of lymphatic origin, cysts of mesothelial origin, cysts of enteric origin, cysts of urogenital origin, dermoid cysts and pseudocysts.…”

Section: Introductionmentioning

confidence: 99%

Mesothelial Cyst in a Young Female: Case report and literature review

Alghazal¹,

Alzahrani²,

Alshamrani³

et al. 2021

IJCR

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Mesenteric cysts are rare intra-abdominal benign tumors (1 in 100,000 cases in adults) with various clinical presentations. [1,2] They commonly originate from the small bowel mesentery, although a proportion has been found to originate from the mesocolon, and retroperitoneum. [1,3] The formation of mesenteric cysts depends on the histologic origin, where they could be classified into cysts of lymphatic origin, cysts of mesothelial origin, cysts of enteric origin, cysts of urogenital origin, dermoid cysts and pseudocysts. [4,5] Diagnosis is extremely difficult since. The Mesenteric cyst is usually asymptomatic, but if symptomatic, abdominal pain (82%), nausea and vomiting (45%), constipation (27%) are the most common presenting symptoms. [2,3] The clinical finding of abdominal mass is encountered in more than 61% of the patients. [2,3]. As this condition is very rare and its symptomatology can resemble any other abdominal diseases, diagnosis is extremely difficult and incorrect preoperative diagnosis is often made. Hence, performing physical examination and conducting radiological investigations such as ultrasonography (USG) and computed tomography (CT) are important in making a correct diagnosis. [2,3] As well as cases of mesothelial cysts, they are typically asymptomatic but occasionally, their symptoms are vague and non-specific. [6,7] As mentioned above, imaging modalities such as USG, CT and magnetic resonance imaging (MRI) are great in identifying the character, size, location, surrounding tissues and the wall and content of the cysts. [7] Surgery is the treatment of choice, as a complete resection with negative borders is curative and often prevents recurrence. [3] We report a case of a young female patient who presented with a vague abdominal symptoms and a large cystic mass in lower abdomen. After proper evaluation, surgical exploration revealed a large simple mesothelial cyst.

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Case report: elective removal of a large mesenteric cyst—our approach

Cited by 6 publications

References 8 publications

Adult with concurrent mesenteric cyst and acute appendicitis: a case report

Adult with concurrent mesenteric cyst and acute appendicitis: a case report

Non-organ mesothelial cyst of the abdominal cavity. Clinical observation

Mesothelial Cyst in a Young Female: Case report and literature review

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