Giant Mesenteric Cyst

Abstract

Mesenteric cysts are uncommon benign abdominal lesions with no classical clinical features. The preoperative diagnosis requires the common imaging modalities but the final diagnosis is established only during surgery or histological analysis. The treatment of choice is complete surgical excision. We report an 18-year-old female with a non-specific abdominal pain and discomfort since 3 weeks. Her CT scan showed a huge cystic swelling, which necessitated surgical exploration. Preoperatively, a giant cyst was encountered with displacement of bowel loops. The cyst was completely removed and histology report confirmed mesenteric cyst without evidence of malignancy.

Giant mesenteric cyst from the small bowel mesentery in a young adult patient

“…Magnetic resonance imaging (MRI) has been found to be more precise in the evaluation of cyst [6]. In our patient, MRI helped us in preoperative planning of the cyst [5, 7]. The treatment of choice for Mesenteric cysts is surgery.…”

“…The treatment of choice for Mesenteric cysts is surgery. Aspiration and marsupialization are not recommended because they are associated with high recurrence and infection rate [7]. Localized resection of the intestine or surrounding structures may be required to excise the cyst en bloc [4].…”

Giant Mesenteric Cyst and Right Sided Syndrome in a 15-Year-Old Boy

“…Mesenteric cysts can arise from jejunum to the rectum, mostly from mesenteric border of the ileal mesentery. The possible etiology includes a benign proliferation of ectopic mesenteric lymphatic vessels which lack communication with the remaining lymphatic system, 7 trauma, surgery, and neoplasms. 8 It can occur at any age and approximately one-third of cases are found in children younger than 15 years.…”

“…The majority of the patients are younger than 10 years, and 75% younger than 5 years of age. 7 The clinical presentation is nonspecific and depends on the size and the site of the cyst.…”

A giant mesenteric cyst mimicking adnexal mass in a middle- aged woman: case report

“…Beside this, cyst is fulled with the liquid that is secreted from the epithelial cells covering the cyst wall [9]. MC's can be developed in any of gastrointestinal system mesentery from duodenum to rectum, but the most abundant space where it is seen is ileum mesentery [9]. Some of these cysts which are located in pelvic cavity, can mimick adnexal cysts [10].…”