The diagnosis and treatment of a symptomatic mesenteric cyst

Rajendran, Simon; Khan, Ata; Murphy, M. Dianne; O’Hanlon, Deirdre

doi:10.1136/bcr-2013-202410

Cited by 15 publications

(20 citation statements)

References 3 publications

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“…Surgical excision is the gold standard treatment [17]. Malignant degeneration to low-grade sarcoma has been reported but is rare; however, complete surgical excision is the treatment of choice [8,18].…”

Section: Discussionmentioning

confidence: 99%

Cystic Lymphangioma of the Greater Omentum: A Case of Partial Spontaneous Regression and Review of the Literature

Maranna

Bains

Lal

et al. 2020

Case Reports in Surgery

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Introduction. Omental cysts are a part of cystic lymphangiomas and are benign proliferations of ectopic lymphatics without a communication with the normal lymphatic system. They commonly involve the neck in the pediatric population and are uncommon at other sites and occur rarely in adults. Case Presentation. A 42-year-old female with complaints of vague lower abdominal pain for 8 months presented with a soft, nontender swelling of size 22×18 cm in the hypogastrium and umbilical region. Computerized tomography (CT) of the abdomen showed a peripherally enhancing hypodense cystic lesion of size 19×14×12 cm perhaps arising from the mesentery. The cyst had spontaneously reduced in size by about 70% over the next 4 months. During surgery, the cyst of size 10×9×8 cm was present in the greater omentum. Excision was done, and histopathology was suggestive of cystic lymphangioma. Discussion. Cystic lymphangiomas have an incidence of 1/20000 at infancy and 1/100000 to 1/250000 of hospital admissions in adults, and the female-to-male ratio is 2 : 1. In adults, they are found in the age group between 40 and 70 years. Spontaneous regression of omental cysts is very rare and presumably from increased pressure in cysts overcoming incomplete obstructions or by establishment of alternative routes of drainage. Conclusion. As the disease is essentially benign and if there are no significant pressure symptoms, the cysts of short duration can be watched further for regression. Long-standing, symptomatic cysts, nonregression, and diagnostic uncertainty will warrant surgery to confirm the diagnosis and relieve the symptoms.

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Section: Discussionmentioning

confidence: 99%

Cystic Lymphangioma of the Greater Omentum: A Case of Partial Spontaneous Regression and Review of the Literature

Maranna

Bains

Lal

et al. 2020

Case Reports in Surgery

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“…Although often asymptomatic, 10% of the patients present as an acute abdomen [ 3 ]. They can also appear as non-specific abdominal features [ [1] , [2] , [3] , 11 ], and as an incidental finding of an abdominal mass [ 9 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…The cyst has benign behavior in almost all cases and it pathogenesis is still unknown [ 1 , 2 , 4 , 6 ]. They are often asymptomatic and found incidentally when patients are undergoing investigations or treatment of another condition [ 7 ], but it can complicate and start manifesting different symptoms, including an acute abdomen [ 1 , 7 , 10 , 11 ]. The treatment of choice is complete surgical removal of the lesion, which also offers histopathological confirmation of the diagnosis [ 1 , 7 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…They are often asymptomatic and found incidentally when patients are undergoing investigations or treatment of another condition [ 7 ], but it can complicate and start manifesting different symptoms, including an acute abdomen [ 1 , 7 , 10 , 11 ]. The treatment of choice is complete surgical removal of the lesion, which also offers histopathological confirmation of the diagnosis [ 1 , 7 , 11 ]. Thus, this article purpose is to report a case of a patient that presented with acute abdomen at the emergency caused by a bulky mesenteric cyst.…”

Section: Introductionmentioning

confidence: 99%

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Mesenteric cyst presenting with acute abdomen pain and bowel obstruction: Case report and brief literature review

Carvalho

Filho

Plens

et al. 2020

Annals of Medicine and Surgery

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Mesenteric cysts were first described in 1507 and since then remain as a rare intraabdominal pathology. The etiology of this kind of tumor is still unclear and the classification remains controversial. They are usually asymptomatic, but can also cause acute abdominal pain and sometimes need emergency surgical approach. Clinical history, physical exam and complementary tests do not always provide diagnosis, which in many cases is made after surgery. Surgical management with complete excision of the cyst is the gold standard treatment. Laparoscopy technique should be preferred whenever is possible. The knowledge of these rare tumors is important for considering the correct approach. The goals of this article is to describe a case report of mesenteric cyst presented with acute abdominal pain at the emergency and do a brief literature review about this entity.

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“…With the beginning of folk medicine, the usage of medicinal plants and their incorporation into allopathic and traditional medicine have a long history [1]. Medicinal plants have effec-tive pharmacological activities due to the presence of secondary metabolites such as alkaloids, saponins, tannins, terpenoids, flavoids, inulin, glycosides, steroids, phlobatannins, terpenoids, phenols, and naphthoquinone.…”

Section: Introductionmentioning

confidence: 99%

In Vitro Anti-Inflammatory, Anticancer (MCF-7, 3T3, and HeLa Cell Lines), and Brine Shrimp Lethality Assay and FTIR Analysis of the Extract and Fractions of the Whole Plant of Heliotropium europaeum

Achakzai

Panezai

Akhtar

et al. 2020

Mediators of Inflammation

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In this study, anti-inflammatory, anticancer, brine shrimp lethality, and FTIR studies were evaluated. The oxidative burst assay using the chemiluminescence technique, MTT assay, brine shrimp lethality assay, and FTIR analysis were the methods used for the evaluation of anti-inflammatory, anticancer, brine shrimp lethality, and FTIR studies, respectively. The whole-plant butanol fraction of Heliotropium europaeum (WBFHE) showed anti-inflammatory activity on ROS having IC5014.7±2.5 while the extract and other fractions of the whole plant of Heliotropium europaeum exhibited no anti-inflammatory activity. None of the extract and fractions of the whole plant of Heliotropium europaeum exhibited anticancer (MCF-7, 3T3, and HeLa cell lines) activities. The whole-plant aqueous fraction of Heliotropium europaeum (WAFHE) and whole-plant butanol fraction of Heliotropium europaeum (WBFHE) showed lethality at high concentration while at low concentration, no toxicity was shown. The whole-plant methanolic extract of Heliotropium europaeum (WMEHE) and whole-plant n-hexane fraction of Heliotropium europaeum (WHFHE) exhibited no toxicity. FTIR interpretation showed the functional groups for the aromatic compounds, phenols, carboxylic acids, esters, alkanes, alkenes, alcohols, alkyl halides, sulfate esters, phosphines, silanes, nitriles, thiols, amines, phosphoric acids, and nitro compounds.

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The diagnosis and treatment of a symptomatic mesenteric cyst

Cited by 15 publications

References 3 publications

Cystic Lymphangioma of the Greater Omentum: A Case of Partial Spontaneous Regression and Review of the Literature

Cystic Lymphangioma of the Greater Omentum: A Case of Partial Spontaneous Regression and Review of the Literature

Mesenteric cyst presenting with acute abdomen pain and bowel obstruction: Case report and brief literature review

In Vitro Anti-Inflammatory, Anticancer (MCF-7, 3T3, and HeLa Cell Lines), and Brine Shrimp Lethality Assay and FTIR Analysis of the Extract and Fractions of the Whole Plant of Heliotropium europaeum

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