Diagnosis Of Mesenteric Cyst Research Articles

Eight-Kilogramme Giant Mesenteric Cyst of Mullerian Origin: Case Report and Review of Literature

Mesenteric cysts are a rare occurrence in clinical practice, and even fewer are found to be of Mullerian origin. Diagnosis of mesenteric cysts is typically based on clinical assessment and radiological imaging. Surgical excision remains the primary treatment option. We report a case of a middle-aged lady presenting with a giant mesenteric cyst weighing 8-kilogrammes that was managed with laparotomy. Current literature of this rare clinical entity was also reviewed, including differential diagnoses of cystic lesions within the abdomen and role of imaging in guiding pre-operative diagnosis and management strategies. The giant mesenteric cyst was successfully excised en bloc without spillage via a laparotomy. Analgesia optimisation was achieved with a continuous local anaesthetic infusion. Pre-operative radiology can assist in diagnosis of the mesenteric cyst and guide management. Should an open surgical approach be selected, analgesia can be optimised with a continuous local anaesthetic infusion which decreases need for opioid medications.

Chylo-lymphatic mesenteric cyst in a 7-year-old

Mesenteric cysts are rare intra-abdominal masses that usually remain asymptomatic and present incidentally on radiological imaging. As the incidence is low, with paucity of data, careful pre-operative assessment and execution of surgical procedure often present a challenge to the treating clinician. A 7-year-old female child presented with gradual distention of abdomen and dull abdominal ache. On clinical examination, a huge mass measuring 1812 cm was detected in the lower abdomen. On radiological imaging, a diagnosis of mesenteric cyst was made. Intra-operative findings were consistent with mesenteric cyst, and complete surgical excision was carried out by laparotomy. The histopathology report revealed a chylo-lymphatic type of mesenteric cyst. Huge, benign abdominal masses in pediatric patient may represent mesenteric cysts, and the diagnosis can be confirmed by radiological imaging modalities such as abdominal contrast-enhanced computed tomography. Complete surgical removal of the cyst remains the treatment of choice, as the literature is against marsupialization or aspiration of cyst owing to a higher chance of infection and morbidity.

Management outcomes of mesenteric cysts in paediatric age group.

Background:Mesenteric cysts are rare intra-abdominal masses and high index of suspicion is required to clinically suspect this pathology and make a definitive diagnosis. They are most commonly located in the ileal mesentery but can be located anywhere along the gastrointestinal tract mesentery and may extend into the retroperitoneum. The rarity of these anomalies and diversity of clinical picture pose challenges in the diagnosis and operative management. The objective of this study is to determine the demographic pattern, clinicopathological diagnosis and management outcome of mesenteric cysts in our hospital.Materials and Methods:This retrospective study was conducted on children operated for mesenteric cysts from October 2013 to September 2020. Statistical analysis was performed using Open Epi Version 3.01.Results:Out of 32 children with a diagnosis of mesenteric cyst, 78% were below 5 years of age. Small intestine was affected in 26 cases and large bowel mesentery was the site of origin in six cases. Complete excision of mesenteric cyst was possible in all cases. Bowel resection was required in ten cases (31%) to enable complete excision. Bowel resection was required more often in children operated on emergency than those with elective surgery, and is statistically significant (P = 0.04; confidence interval: 0.05–0.96, odds ratio: 0.23). An uncommon co-existence with ileal atresia and detection of rare chylolymphatic cyst in another infant were also remarkable findings. Histopathology proved the diagnosis in all cases. There was no mortality or recurrence during hospitalisation and follow-up, which ranged from 3 months to 3 years.Conclusions:Mesenteric cysts present with diverse clinical features and children below 5 years of age are most commonly affected. Complete surgical excision is the optimal treatment and may require bowel resection in significant number of cases, especially those operated during emergency. Histopathology is the gold standard for diagnosis.

Mesenteric Cyst in 22 Cases.

The aim of this study is to retrospectively and multi-centerly examine the clinicopathological features of patients who were operated with the diagnosis of mesenteric cyst, which is a rare cause of intra-abdominal mass in the last 9 years, in the light of the literature. The patients were operated due to mesenteric cysts in the general surgery clinics of two Training and Research Hospital between 2010 and 2019; age, gender, preoperative clinical findings, computed tomography (CT) findings, localization of the mass, surgical procedure, morbidity, histopathological results, and follow-up period status were analyzed and reported electronically. The patients generally applied with the complaints of abdominal pain, palpable abdominal mass, and abdominal distention. Fourteen (63.7%) of the cases were male and 8 (36.3%) were female. The mesenteric cysts were located in the small intestine in 18 cases and colon in 4 cases. In the histopathological examination of the surgical materials, simple cyst was detected in 17 cases, lymphangioma in 4 cases, colon adenocarcinoma, and simple cyst in 1 case. In the postoperative period, superficial surgical site infection developed in 3 patients and morbidity developed in 1 patient due to anastomotic leakage. Although mesenteric cysts are rarely seen, although most of them are not histopathologically malignant, they can reach large sizes and require extensive surgical operation, and related morbidities can be seen. Therefore, mesenteric cysts should be followed carefully in the postoperative period as well as during the diagnosis and surgical treatment process.

Diagnosis and Treatment of Mesenteric Cystic Lymphangioma: Case Report

Background: Mesenteric cysts, and particularly lymphangiomas, occur very rarely in adult patients. Due to this low incidence and their non-specific symptomatology, they often present a difficulty in diagnosis. Case report: We present the case of a patient aged 58 years admitted to the Surgical Clinic 1, Târgu MureE™ Emergency County Hospital accusing diffuse abdominal pain and tenderness in the epigastrium. Abdominal ultrasound revealed a fluid cystic tumor, multi-septated, located in the root of the mesentery and the abdominal computer tomography confirmed this diagnosis. Surgery consisted of total cystectomy without compromising the intestinal segment and sparing the vascular structures in its vicinity. Cyst dimensions were approximately 70x50x30 mm and contained lymphatic fluid. The histopathological report confirmed a mesenteric cystic lymphangioma. The postoperative evolution was uneventful, with quick recovery and no postoperative complications. Conclusions: The diagnosis of mesenteric cyst should be included in the differential diagnosis of intra-abdominal tumors in patients with nonspecific symptoms. Once this diagnosis is established histological differentiation between lymphangiomas and simple lymphatic cyst is essential. The total excision minimizes the recurrence rate, and their early removal can prevent complications caused by the compression and invasion of neighboring organs.

Early management of mesenteric cyst prevents catastrophes: A single centre analysis of 17 cases

Mesenteric cysts are rare intra-abdominal masses in the paediatric age group with varied presentation, ranging from an asymptomatic mass to acute abdomen. This study reviews our experience in the diagnosis and treatment of 17 mesenteric cysts in our centre, with especial reference to acute abdominal symptoms. Seventeen patients (age less than 10 years) with mesenteric cysts were managed in our hospital. The age ranged from 15 days to 10 years. Patients were admitted with acute or chronic symptoms. They were evaluated with complete history, clinical examination, blood investigations and radiological investigations (x-ray abdomen erect, ultrasound abdomen (USG) and computed tomography (CT) scan in selected cases) to reach a provisional diagnosis. The diagnosis was proven on laparotomy and histologically confirmed. The main presenting symptoms were abdominal pain or lump. The most common mode of presentation was acute small intestinal obstruction. USG was not conclusive in all. Abdominal CT scan with intravenous contrast was diagnostic in nine patients. Five patients had volvulus on exploration. Cysts were located in small intestinal mesentery in 14 cases and three were in the sigmoid mesentery. Seven patients had complete excision, intestinal resection was required in four and marsupialisation with cauterisation of margins was done in six patients. Histologically, all were lymphangiomatous mesenteric cysts. The diagnosis of mesenteric cysts should be kept in mind in any patient presenting with acute abdominal symptoms. Small bowel volvulus with mesenteric cyst constituted a significant number in children with acute abdominal symptoms. Early diagnosis and treatment yields excellent outcome.

KYSTE MÉSENTÉRIQUE GÉANT

Introduction : Mesenteric cyst is rare. The diagnosis is difficult. In this case, we report a new case of giant cyst of the mesentery. The authors insist on the contribution of the tomodensitometry in the diagnosis and discuss the place of the laparoscopy in surgical treatment. Observation : A 40 year old man was admitted for a giant abdominal mass with compressive signs. The CT scan had evoked the diagnosis of cyst mesenteric. The surgical resection was performed with success. After one year of follow up, the patient is well with no recurrence. Discussion : The diagnosis of mesenteric cyst is difficult. Clinical items and radiological aspects are extremely various.. The aspiration of the cyst is forbidden in hydatid endemic countries. Malignant cysts occur in less than 3% of cases. Total cystectomy is the treatment of choice. When the cyst’s size is small , the laparoscopy is an effective and safe approach. In giant cyst, the laparotomy remains useful. Conclusion : The cyst mesenteric is a rare. Ct scan usually confirms the diagnosis. Surgical removal is the only treatment for these lesions. Bowel resection may be necessary in cases where cysts are close to bowel structures or involve blood vessels that supply the bowel. Once removed, mesenteric cysts rarely recur, and patients have an excellent prognosis.

Sigmoid mesenteric cyst. Angiographic findings.

Abdominal angiography of a 3-year-old girl demonstrated a large mass within the sigmoid mesentery. An avascular mass within the mesentery associated with staining of a uniform, thin-walled rim should suggest the diagnosis of mesenteric cyst.