Laparoscopic Resection of Giant Mesenteric Cyst

Polat, Coşkun; Özaçmak, İhsan Diler; Yücel, Tayfun; Özmen, Vahit

doi:10.1089/lap.2000.10.337

Cited by 25 publications

(20 citation statements)

References 9 publications

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“…Complete excision is the treatment of choice because of the possibilities of recurrence and malignant transformation seen in 3% of cases [1][2][3][4][5][6][7] . The laparoscopic approach is replacing open surgical procedures [2,4,14,15]. Partial bowel resection may be necessary because of the transecting neighboring bowel vessels [7,11].…”

Section: Discussionmentioning

confidence: 99%

Rupture of a Gıant Mesenterıc Cyst after a Penetratıng Abdomınal Trauma

Yanar¹,

Ağcaoğlu²,

Özçınar³

et al. 2015

JCR

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Abstract:Benign cystic tumors are rare intra-abdominal lesions that may be retroperitoneal, mesenteric, or omental. Their rarity had fostered a lack of information and difficulty in classification. Most of them cause nonspecific symptoms, rarely they cause serious complications such as volvulus, rupture or bowel obstruction and treatment is indicated if they become symptomatic due to enlargement of the cyst. We present a patient with a ruptured giant mesenteric cyst due to a penetrating abdominal trauma and treated successfully by surgical intervention. To our best of knowledge, this is the first case reported in the English literature with a ruptured mesenteric cyst after penetrating abdominal trauma.

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Section: Discussionmentioning

confidence: 99%

Rupture of a Gıant Mesenterıc Cyst after a Penetratıng Abdomınal Trauma

Yanar¹,

Ağcaoğlu²,

Özçınar³

et al. 2015

JCR

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“…In addition to giant abdominal cyst, positive pressure ventilation may likely contribute to the decreased venous return from chest and abdomen. Management of giant intraabdominal cysts has traditionally required a full midline laparotomy [7]. Once the abdomen is entered and the large mass is isolated, the tumor can be resected.…”

Section: Discussionmentioning

confidence: 99%

A Case of Giant Ovarian Cyst Managed Successfully Through Laparoscopic Surgery

Kim

Park

et al. 2012

Korean J Obstet Gynecol

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Mucinous ovarian tumors account for 15% all ovarian neoplasms, of which giant variants rarely occur. Recently huge ovarian cysts (more than 12 kg) are now rarely seen because of the development in health care systems and education. The patient is 26-yearold nulligravida female who presented with abdominal distension. A laparoscopic left salpingo-oophorectomy was performed. Laparoscopic approach to giant ovarian cyst may be difficult regarding the risk of cyst rupture and limited working space. To reduce the limitations of the laparoscopy, we performed laparoscopy after aspirating the cystic contents. During laparoscopy, abdominal cavity was explored by the scope. Cyst contained about 53 L of fluid. The histopathologic examination revealed a borderline mucinous tumor of the left ovary. Laparoscopic excision of giant ovarian cyst seems to be safe and applicable treatment modality. Copyright © 2012. Korean Society of Obstetrics and GynecologyLaparoscopic approach is more advantageous over laparotomy, considering better cosmetic results, lesser blood loss, lesser pain and analgesic requirement, faster recovery, and shorter hospitalization time [1]. Laparoscopic approach to giant ovarian cyst, in cases when the cysts' sizes exceed to the umbilicus, may be difficult regarding the risk of cyst rupture and limited working space [2]. However, if the laparotomy is chosen as the operative treatment, a larger incision is required to excise the cyst. We present a case of laparoscopic extirpation of a giant ovarian cyst. Case ReportA 26-year-old woman was referred to our department for a giant abdominal mass in July 2011. She was single and nulliparous female who presented with a gradually increasing abdominal swelling first noticed 4 years ago. Due to the huge mass she was unable to walk and had anorexia and weight gain. At admission, the emaciated patient weighted 120 kg, had a body height of 177 cm and abdominal girth at the level of the umbilicus was 190 cm (Fig. 1). There was no history of colicky pain fainting attacks, vomiting or other gastrointestinal attacks. She had no previous history of any illnesses, allergies or operations. On abdominal examination, abdomen was grossly distended engorged veins present, fluid thrill was present. There were no abnormalities in hematologic and biochemical data including cancer biomarkers CA-125, CA 19-9, and carcinoembryonic antigen. On ultrasonography, a huge, multilocular cystic tumor with low echogenic content was found (Fig. 2). There were no papillary or solid parts of associated with the wall or septa, and no ascites. She could not fit into the computed tomography machine due to the giant abdominal mass. After consultation with the anesthesiology and cardiology teams, the patient was placed in a semiFowler's position in the operating room due to dyspnea, general anesthesia and endotracheal tube intubation was performed. After CASE REPORT Korean J Obstet Gynecol 2012;55(7):534-537 http://dx

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“…In contrast to newly reported cases, the diagnosis has been made after surgery [5]. Large MCs should always be removed in order to exclude a malignant transformation and to prevent complications, such as rupture, hemorrhage, torsion, or infection [12]. The treatment of choice is the surgical excision of an MCC, which can be done by either laparotomy or laparoscopic surgery [6,[10][11][12][13].…”

Section: Discussionmentioning

confidence: 99%

Chylous Cyst of the Small-Bowel Mesentery: Report of a Case

2002

Visc Med

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The mesenteric chylous cyst (MCC) is a rare intra-abdominal cystic disorder, and its preoperative diagnosis is difficult. A 51-year-old woman was admitted for abdominal pain and discomfort in the mesogastrium that had begun 4 weeks previously. Abdominal ultrasonography (US) and computed tomography (CT) scanning demonstrated a giant intra-abdominal cystic mass without any relation to uterus, adnexa or organs of the epigastrium. The preoperative diagnosis was a mesenteric cyst. A laparotomy showed a chylous fluid-containing cystic mass that arose from the mesentery of the upper part of the jejunum. The cystic tumor was removed without intestinal resection. Histological examination confirmed the diagnosis of a simple lymphatic cyst. The patient has been well and free of recurrence for 16 months postoperatively. The clinical management, pathological findings and a review of the literature are discussed in this report.

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Laparoscopic Resection of Giant Mesenteric Cyst

Cited by 25 publications

References 9 publications

Rupture of a Gıant Mesenterıc Cyst after a Penetratıng Abdomınal Trauma

Rupture of a Gıant Mesenterıc Cyst after a Penetratıng Abdomınal Trauma

A Case of Giant Ovarian Cyst Managed Successfully Through Laparoscopic Surgery

Chylous Cyst of the Small-Bowel Mesentery: Report of a Case

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