Abstract

Giant abdominal chylolymphatic cyst: Review of two rare cases

Highlights

  • First reported in 1907 by the Florentine anatomist Benevieni in an 8-year-old girl[1] A mesenteric cyst is a fluid-filled sac lined with endothelium or mesothelium arising anywhere in the mesentery of the duodenum through the large bowel

  • The incidence of mesenteric cysts has been reported to be in the region of 1/100 000–1/200 000 and between 10% and 30% of these may be in children can present at any age [3, 4].Giant mesenteric cysts are even rarer and those containing chylolymphatic fluid are the rarest [2].Clinically mesenteric cysts may present as an asymptomatic abdominal mass, incidental finding during laparotomy for other abdominal conditions, or it may present as an acute abdomen

  • Complete surgical excision remains the mainstay for the treatment of the mesenteric cysts with an excellent result [2]

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Summary

Introduction

First reported in 1907 by the Florentine anatomist Benevieni in an 8-year-old girl[1] A mesenteric cyst is a fluid-filled sac lined with endothelium or mesothelium arising anywhere in the mesentery of the duodenum through the large bowel. The incidence of mesenteric cysts has been reported to be in the region of 1/100 000–1/200 000 and between 10% and 30% of these may be in children can present at any age [3, 4].Giant mesenteric cysts are even rarer and those containing chylolymphatic fluid are the rarest [2].Clinically mesenteric cysts may present as an asymptomatic abdominal mass, incidental finding during laparotomy for other abdominal conditions, or it may present as an acute abdomen. Mesenteric cysts may cause acute abdomen from the cyst rupture, infection, hemorrhage, intestinal obstruction, and volvulus [5].

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