Traumatic mesenteric pseudocyst

Micković, Saša; Bezmarević, Mihailo; Nikolić-Micković, Irena; Mitrović, Miroslav; Tufegdzic, Ivana; Mirković, Darko; Sekulović, Leposava; Trifunović, Bratislav

doi:10.2298/vsp121116029m

Cited by 5 publications

(4 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A mesenteric cyst is a rare type of abdominal cyst that arises from the mesentery, a fold of the peritoneum that attaches the intestines to the back of the abdominal wall. These cysts can be classified as true cysts or pseudocysts based on their histological features [ 5 ]. True mesenteric cysts are lined by epithelium while pseudocysts are not.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Intact Excision of a Mesenteric Pseudocyst

Kaushik,

Pratap,

Naik

et al. 2023

Cureus

View full text Add to dashboard Cite

Mesenteric cysts are detected in all age groups with almost equal incidence in both genders. Although a rare abdominal growth, it is commonly found in the fifth to seventh decades of life. These are mostly small (asymptomatic) with a 3% chance of malignant transformation. With the increase in the size of the cyst, nonspecific complaints of abdominal pain, distention, discomfort, nausea, vomiting, flatulence, constipation, or diarrhea may develop. Owing to the varied presentation and lack of pathognomonic clinical, laboratory, or imaging findings, these are difficult to diagnose. The subtype mesenteric pseudocyst is even rarer with a reported incidence of less than 1 out of 250,000 hospital admissions and can be found anywhere along the mesentery from the duodenum to the rectum. Etiology is either traumatic or infectious. Incidental diagnosis during abdominal imaging or laparotomy is common. However, it warrants immediate surgical intervention when infected or ruptured. Complete excision of the cyst is the treatment of choice. Here, we report an interesting case of a middle-aged gentleman who had been repeatedly evaluated for a tense abdomen with exudative ascites. Following decompression, he presented to us with a large obliquely mobile mass in the abdomen. The diagnosis was made by clinical and radiological findings and confirmed by histopathological examination of the intact, excised specimen post-laparotomy.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Some case reports suggest that mesenteric pseudocysts may arise from trauma while others suggest they may be caused by inflammatory or neoplastic processes. A case report by Micković S et al (2014) described a mesenteric pseudocyst in a patient with a history of abdominal trauma [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Intact Excision of a Mesenteric Pseudocyst

Kaushik,

Pratap,

Naik

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…El tratamiento es siempre quirúrgico pudiendo ser necesaria la resección intestinal la cual esta recomendada, unicamente, cuando exista un compromiso vascular del segmento intestinal donde se resecó el quiste 10 .…”

Section: Discussionunclassified

Pseudoquiste Mesentérico: Reporte de un caso.

Salada Morales,

Castelli,

Barberousse

2023

Rev Cir.

View full text Add to dashboard Cite

Introducción: Los quistes mesentéricos se pueden encontrar a lo largo de todo el mesenterio del intestino.Los pseudoquistes de mesenterio se caracterizan por carecer de revestimiento endotelial.Generalmente son asintomáticos y el diagnóstico se realiza mediante estudios de imagen.Material y método: Reporte de un caso clínicoResultados: Presentamos el caso de una mujer de 50 años sana que consulta por tumoración indolora en flanco izquierdo. Se solicita TC y RNM en donde se visualiza tumoración quistica de paredes finas, homogenea de 88mm de diámetro mayor con septos y tabiques. Se realiza abordaje laparoscópico identificando masa de 12cm que se protruye a nivel del mesenterio de la segunda asa yeyunal, se reseca in incidentes. La anatomía patológica informó pseudoquiste mesentérico, sin elementos de malignidad. Buena evolución posterior. Conclusiones: Los quistes mesentéricos son extremadamente infrecuentes. Generalmente se localizan en el mesenterio del intestino delgado como en el caso presentado.Teniendo en cuenta las características histopatológicas, se clasifican en seis grupos. Si bien es excepcional su transformación maligna, el tratamiento consiste siempre en su resección quirúrgica.Se prefiere la laparoscopía por sus conocidos beneficios.

show abstract

“…The abdominal cysts we mention especially related to pediatric population may be located at the liver, for instance hepatic hydatid cyst, mesenchymal hamartoma, traumatic cystic lesions [ 34 , 35 , 36 ]. Biliary ducts cysts such as choledochal cysts are rare, while the mesentery area sometimes involves lymphatic malformation, pure mesenteric cysts or traumatic pseudocysts [ 37 , 38 , 39 , 40 , 41 ]. Solid organs such as spleen may associate simple cysts or vascular malformations; pancreatic cysts aspects are mostly related to pseudocysts or cystadenoma [ 42 , 43 , 44 ].…”

Section: General Datamentioning

confidence: 99%

Cystic adrenal lesions: focus on pediatric population (a review)

Cârșote

Ghemigian

Terzea

et al. 2017

Medicine and Pharmacy Reports

View full text Add to dashboard Cite

Background and aimThe cysts may potentially affect any organ; adrenals cysts are rare. This is a review of the literature regarding adrenal cysts, focusing on children and young adults.General dataThree major types have been described: pure cysts (endothelial, epithelial, and hemorrhagic or pseudocyst), parasitic (as hydatid) cysts and cystic part of a tumour (most frequent are neuroblastoma, ganglioneuroma, pheocromocytoma, and teratoma). The complications are: bleeding, local pressure effects; infection; rupture (including post-traumatic); arterial hypertension due to renal vessels compression. Adrenal hemorrhage represents a particular condition associating precipitating factors such as: coagulation defects as Factor IX or X deficiency, von Willebrand disease, thrombocytopenia; antiphospholipid syndrome; previous therapy with clopidogrel or corticosteroids; the rupture of a prior tumour. At birth, the most suggestive features are abdominal palpable mass, anemia, and persistent jaundice. Adrenal insufficiency may be found especially in premature delivery. The hemorrhage is mostly self-limiting. Antenatal ultrasound diagnosis of a cyst does not always predict the exact pathology result. The most important differential diagnosis of adrenal hemorrhage/hemorrhagic cyst is cystic neuroblastoma which is highly suggestive in the presence of distant metastases and abnormal catecholamine profile. The major clue to differentiate the two conditions is the fact that the tumor is stable or increases over time while the adrenal hemorrhage is expected to remit within one to two weeks.ConclusionPediatric adrenal cysts vary from simple cysts with a benign behavior to neoplasia- related lesions displaying severe prognosis as seen in cystic neuroblastoma. A multidisciplinary team is required for their management which is conservative as close follow-up or it makes necessary different surgical procedures in cases with large masses or if a malignancy suspicion is presented. Recently, laparoscopic approach is regarded as a safe procedure by some authors but generally, open surgery is more frequent used compare to adults; in most cases the preservation of normal gland is advisable.

show abstract

Traumatic mesenteric pseudocyst

Abstract: Only by complete cyst removal, the definitive, accurate histopathological diagnosis and classification can be made.

Cited by 5 publications

References 18 publications

Intact Excision of a Mesenteric Pseudocyst

Intact Excision of a Mesenteric Pseudocyst

Pseudoquiste Mesentérico: Reporte de un caso.

Cystic adrenal lesions: focus on pediatric population (a review)

Contact Info

Product

Resources

About