Infected mesenteric cyst - a rare presentation

Abstract

Mesenteric cysts are rare intra-abdominal tumours. Mesenteric cysts are usually asymptomatic and are incidentally detected during physical or radiological examination. Although uncommon, complications such as infection, bleeding, torsion, rupture and intestinal obstruction cause an acute abdomen. Spontaneous infection is a very rare complication. We present a case of infected mesenteric cysts in the mesentry of terminal ilium, which caused an acute abdomen. A 08-year-old male child presented with acute abdominal pain in right iliac and lumbar regions. He had tenderness and guarding in right iliac and lumbar area, and on physical examination under anaesthesia a lump was palpable in right iliac ,lumbar and hypogastric areas. Abdominal computed tomography showed a hypodense cystic mass with septation in the mesentry of the terminal ilium. A laparotomy revealed a multiloculated cystic tumors at the mesentry of the terminal ilium which was filled with a yellowish turbid fluid. He underwent exploratory laparotomy and partial excision of the cyst.