Mesenteric Cyst with GI Symptoms: A Fluid Approach to Treatment—Case Report and Literature Review

Gagliardi, Federica; Lauro, Augusto; Tripodi, Domenico; Amabile, Maria Ida; Palumbo, Piergaspare; Matteo, F M Di; Palazzini, G; Forte, Flavio; Frattaroli, S; Khouzam, Simone; Marino, Ignazio R.; D’Andrea, Vito; Sorrenti, Salvatore; Pironi, Daniele

doi:10.1007/s10620-021-07352-0

Cited by 7 publications

(8 citation statements)

References 74 publications

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“…Chronic abdominal pain, a palpable mass, abdominal distension, nausea, vomiting, constipation, or diarrhea may be the presentations of symptomatic In such cases, there is debate whether the therapeutic approach should be radiologic or surgical. Alternatively, patients may present to the emergency department with acute GI symptoms such as abdominal pain due to a complete bowel obstruction, peritonitis, or volvulus from the outset requiring emergency surgery [13].…”

Section: Discussionmentioning

confidence: 99%

“…Thus, surgery is the treatment of choice. Complete excision with negative margins plays a curative role avoiding the risk of recurrence, provides a definitive histological diagnosis, and prevents the development of possible complications as well [ 2 , 13 ]. As the risk of malignant transformation in mesenteric cysts reaches up to 3% and even higher, when there are solid components, surgical excision is recommended [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

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A Rare Case of Calcified Simple Mesenteric Cyst in a 70-Year-Old Woman

Aregawi

Alem

2022

Case Reports in Surgery

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Mesenteric cysts are one of the rare causes of intra-abdominal masses. They account for 1 in 100,000 cases in adults and 1 in 20,000 cases in children. Mesenteric cysts are commonly found in the small intestine, up to 60% of cases, and occasionally in the colon. The clinical presentation of patients with mesenteric cysts is so variable and nonspecific. It ranges from being asymptomatic to features of acute abdomen very rarely. Surgery is the treatment of choice. Complete excision with negative margins plays a curative role in avoiding the risk of recurrence as well. Here, we present the case of a 70-year-old woman who came to Hawassa University Comprehensive Specialized Hospital with abdominal swelling for a 5-month duration. She had an abdominal ultrasound, which suggested a calcified mesenteric cyst with internal hemorrhage. The patient was taken to the OR with the impression of an intra-abdominal mass for exploratory laparotomy. The mass was completely excised and was subjected to pathology, which turned out to be a calcified simple mesenteric cyst, and the purpose of this case report is to alert physicians that although the preoperative diagnosis of mesenteric cysts is difficult, it should be considered in the differential diagnosis of a patient presenting with an intra-abdominal mass.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Rare Case of Calcified Simple Mesenteric Cyst in a 70-Year-Old Woman

Aregawi

Alem

2022

Case Reports in Surgery

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“…Because of its low incidence, several definitions and classifications of mesenteric cysts have been proposed. Nowadays most authors define the term mesenteric cyst as a heterogeneous group of cystic formation located anywhere in the mesentery, omentum or retroperitoneum [1] , [3] , [5] , [6] , [7] . The specific pathogenesis remains undefined and multiple hypotheses have been suggested.…”

Section: Introductionmentioning

confidence: 99%

Idiopathic lymphatic mesenteric cyst of the proximal jejunum: A case report of an unusual clinical presentation

Ghielmetti¹,

Neuschütz²,

Hirschmann

et al. 2022

International Journal of Surgery Case Reports

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“…The etiology is unknown but may be caused by an ectopic proliferation of lymphatic vessels in the mesentery without communication to the lymphatic system or by a lack of fusion of the mesentery layers. Its formation includes various causes, such as congenital, traumatic malignant, and infectious [4] , [5] , [6] . They can develop anywhere in the gastrointestinal mesentery or omentum, from the duodenum to the rectum [5] .…”

Section: Introductionmentioning

confidence: 99%

“…Its formation includes various causes, such as congenital, traumatic malignant, and infectious [4] , [5] , [6] . They can develop anywhere in the gastrointestinal mesentery or omentum, from the duodenum to the rectum [5] . Losanoff's classification (LC) [7] helps assess the location, extension, and prognosis of MC: Type 1: Pedunculated lesion; resection does not compromise intestinal irrigation.…”

Section: Introductionmentioning

confidence: 99%