Early management of mesenteric cyst prevents catastrophes: A single centre analysis of 17 cases

Abstract

The diagnosis of mesenteric cysts should be kept in mind in any patient presenting with acute abdominal symptoms. Small bowel volvulus with mesenteric cyst constituted a significant number in children with acute abdominal symptoms. Early diagnosis and treatment yields excellent outcome.

Chylolymphatic Cyst of Mesentery of Terminal Ileum: A Case Report in 8 Year-old Boy

“…Four of the above cases required bowel resection along with excision of the cysts during the management. Histologically, all the cases were confirmed as lymphangiomatous mesenteric cysts [4]. Rattan KN, et al, reported their retrospective review on chylolymphatic mesenteric cysts in pediatric age group and included 8 cases, aged below 10 year.…”

“…Mesenteric cysts are rare intra-abdominal tumor with prevalence is about 1:100,000 in adults and 1:20,000 in pediatric hospitals admission [1]. Mesenteric cysts may occur anywhere in the mesentery of the gastrointestinal tract from the duodenum to the rectum, but most commonly localized in the mesentery of the small intestine, the mesentery of the large intestine and retroperitoneum [1][2][3][4][5]. In a review of 162 cases of mesenteric cysts by Kurtz et al, they found that 60% were located in the mesentery of small bowel, 24% located in the mesentery of large bowel, and 14.5% were retroperitoneal [1].…”

“…Mesenteric cysts may cause acute abdomen from the cyst rupture, infection, hemorrhage, intestinal obstruction, and volvulus [1][2][3][4][5][6][7][8][9]. USG and computed tomography scan of the abdomen are the investigations of choice and may helpful in the pre-operative diagnosis of mesenteric cysts, but not possible to confirm it in all the case [2,[4][5][6]9]. Mesenteric cysts may vary in size from 4 cm to 30 cm [3,8].…”

“…Complete surgical excision remains the mainstay for the treatment of the mesenteric cysts with an excellent result [1][2][3][4][5][6][7][8][9]. In approximately 20% to 60% of the cases bowel resection and anastomosis is needed along with the excision of the mesenteric cysts [2,[4][5][6]8].…”

“…In approximately 20% to 60% of the cases bowel resection and anastomosis is needed along with the excision of the mesenteric cysts [2,[4][5][6]8]. Excision of the mesenteric cysts may also be accomplished successfully with laparoscopically [3,7,8].…”