Mesenteric cysts revisited: An ever-intriguing issue

Rabie, M Ezzedien; Hummadi, Abdelelah; Skaini, Mohammad Saad Al; Shah, Sayed Agha Ali; Shamshad, Hussein; Jamil, Salim; Hassan, Wael Eman; Shah, Mian Tahir

doi:10.4103/ssj.ssj_78_17

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…[new 9] Other types include: (1) cysts of lymphatic origin (simple lymphatic cyst and lymphangioma), (2) cysts of enteric origin (enteric cyst and enteric duplication cyst), (3) cysts of urogenital origin, (4) mature cystic teratoma (dermoid cysts), and ( 5) pseudocysts (infectious and traumatic cysts). [12,13] As most mesenteric cysts and mesothelial cysts, they are typically asymptomatic but occasionally, their symptoms are vague and non-specific. [6,7] They are frequently discovered incidentally in about 40% of the reported cases.…”

Section: Discussionmentioning

confidence: 99%

“…Torsion and volvulus are less common complications. [11,12,13] Previously, the treatment options for mesothelial cysts included drainage, marsupialization and enucleation which thought to be the treatment of choice. Nowadays, the treatment of choice of mesenteric and mesothelial cysts is mainly surgical resection; either open or laparoscopic.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Alghazal¹,

Alzahrani²,

Alshamrani³

et al. 2021

IJCR

View full text Add to dashboard Cite

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“…Asimismo, coincidimos con Kogo H. et al en que los procedimientos mínimamente invasivos logran la remoción completa de linfangiomas quísticos intrabdominales sin que el contenido quístico se derrame a la cavidad peritoneal evitando su diseminación (17) . Respecto a la laparotomía convencional, su aplicación se asocia a un mayor dolor, sin poder ofrecer un resultado estético optimo posoperatorio (18) , por lo que se reserva para aquellos casos donde la vía laparoscópica haga evidente la extrema delgadez de la pared del quiste después de disecar las capas suprayacentes y el riesgo de rotura sea inminente, conduciendo a recurrencia o diseminación en caso de un imitador maligno (19) .…”

Section: Discussionunclassified

Abordaje mínimamente invasivo para el tratamiento de los tumores quísticos retroperitoneales gigantes.

Bono

Maneiro

Martínez

2021

Rev Fac Cien Med Univ Nac Cordoba

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Los tumores retroperitoneales primarios pueden ser neoplasias malignas o benignas, de las cuales el quiste mesentérico tiene presentación infrecuente. Su amplia variedad histológica incluye quistes linfáticos simples o linfangiomas, estos últimos congénitos o adquiridos, y de localización intraabdominal excepcional. Su presentación reconoce tres formas clínicas: incidental, inespecífica y aguda; cuyo abordaje terapéutico depende de las características imagenológicas, e implica el drenaje percutáneo preoperatorio en quistes gigantes, a fin de disminuir la volumetría tumoral y garantizar la quistectomía radical sin riesgo de recidiva. Se presentan 2 casos de síndrome de abdomen agudo secundario a masas quísticas retroperitoneales gigantes resueltos a través de abordaje mínimamente invasivo y revisión bibliográfica.

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Ileal Chylolymphatic Mesenteric Cyst in a 4-year-old Child

Goel,

Thakur,

Garg

2024

Indian Journal of Medical Specialities

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Mesenteric cysts are rare, usually asymptomatic intra-abdominal benign cystic lesions, located in gastrointestinal tract mesentery. Their incidence is estimated about 1/20,000 in the pediatric age group with a male-to-female ratio of 1:2. Here, we report a case of ileal chylolymphatic mesenteric cyst in a 4-year-old male child. A 4-year-old male child presented to the outpatient department with a history of on-and-off abdominal pain and vomiting for the last 2 years. Ultrasound revealed a well-defined anechoic area measuring approximately 68 mm × 52 mm in the lower abdomen and pelvis. Exploratory laparotomy was performed and excised cyst with an attached part of the ileum was sent for histopathology. Correlating histology with immunohistochemical findings, the final diagnosis of ileal chylolymphatic type mesenteric cyst was considered. Mesenteric cysts should be kept as a differential diagnosis of intra-abdominal and pelvic cystic lesions. Although rare, awareness of this entity is necessary for early and prompt diagnosis as well as management, particularly in patients of the pediatric age group.

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Mesenteric cysts revisited: An ever-intriguing issue

Cited by 3 publications

References 7 publications

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

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

Abordaje mínimamente invasivo para el tratamiento de los tumores quísticos retroperitoneales gigantes.

Ileal Chylolymphatic Mesenteric Cyst in a 4-year-old Child

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