A Case of Laparoscopic Mesenteric Cyst Excision

Abstract

The objective of this study is to discuss the presentation, diagnosis, and surgical management of a young, healthy patient with a symptomatic mesenteric cyst. He had a 5-month history of abdominal pain from this disorder, and the case is presented to illustrate the clinical picture and operative management of this rare disorder.

Colonic mesenteric lymphatic malformation presenting as an intraabdominal abscess in an infant: A case report

“…The definitive treatment of an intraabdominal lymphatic malformation is open or laparoscopic [9] , [10] excision of the cystic structure, with complete excision associated with a low recurrence rate. Though in general recurrence rates are generally believed to be low following gross total resection, the best method to follow these patients is not well established; hence one must remain vigilant of the possibility and perform a thorough physical exam at each encounter with the patient’s pediatrician.…”

A giant mesenteric cyst mimicking adnexal mass in a middle- aged woman: case report

“…Apart from solid organ cysts, there are also other cysts that stem from mesentery, omentum and retroperitoneum [7]. These cysts are generally asymptomatic and rarely seen benign tumors which are commonly diagnosed coincidentally [2,3]. In some cases, the symptoms such as abdominal pain, instability in the bowel habits, nausea and vomitting that are related to the increase in dimension or compression, can be seen [3].…”

“…That is why, as in our case, inadequate diagnostic or imaging methods could misdirect the gynecologists to undergo misdiagnose or unnecessary gynecologic surgery. So we would like to mention a strategy for diagnosing MC, is called Tillaux's sign [3]. This sign is defined as, a lesion of the mesentery can be moved only horizontal but not to vertical direction.…”

“…As a conclusion, MC's are usually asymptomatic and non-neoplastic lesions that locate anywhere in mesentery of gastrointestinal tract from duodenum to rectum. They can rarely cause abdominal pain, nausea and change in bowel habits [3]. MC that locates in pelvic space can mimick adnexal cysts.…”

“…These lesions are generally developing asymptomatically, while in some cases, they can cause symptoms such as abdominal pain, instability in the bowel habits, nausea, vomitting as well as abdominal distension [3]. Although they are mostly benign lesions, in some cases, mesenteric cysts can cause complications that require emergent surgical operations.…”