A case report: Acute abdominal pain caused by a mesenteric cyst in a 20 years old female patient

Mesenteric cyst presenting with acute abdomen pain and bowel obstruction: Case report and brief literature review

“…Although the first description of mesenteric cyst was in the 16th century [ 5 , 9 ], its origin is still unclear [ 1 , 4 , 9 , 13 ]. Some authors postulate that they are a consequence of a continual growth of congenitally malformed or malpositioned lymphatic tissue, while others believe that they can originate secondary to trauma, degenerating lymph nodes or failure of the leaves of the mesentery to fuse properly [ 1 , 4 , 9 ].…”

“…The incidence of malignant cysts is low (less than 3% of cases) [ [1] , [2] , [3] , [4] , [5] , 9 , 13 ] and more common in adults [ 5 ]. They are usually sarcomata since the cellular elements of the mesodermal origin, but rare cases of adenocarcinoma have been described [ 9 ].…”

“…Although often asymptomatic, 10% of the patients present as an acute abdomen [ 3 ]. They can also appear as non-specific abdominal features [ [1] , [2] , [3] , 11 ], and as an incidental finding of an abdominal mass [ 9 , 13 ].…”

“…The size of the cysts and age of the patient influence the clinical presentation [ 6 , 9 ]. Abdominal pain, abdominal distention, fever, nausea, constipation, diarrhea are some of the symptoms that this pathology can cause [ [5] , [6] , [7] , [8] , 13 ].…”

“…The surgical treatment is the complete excision of the mesenteric tumor [ [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , 13 ] either laparoscopically or through a laparotomy [ 7 ]. The type of the surgery depends on the size of the cyst, its location in the peritoneal cavity and the surgeon experience [ 13 ]. In some cases a simultaneous intestinal resection it is necessary for the excision to be complete [ [3] , [4] , [5] , 9 , 10 , 13 ].…”