Chylolymphatic Cyst of Mesentery of Terminal Ileum: A Case Report in 8 Year-old Boy

PurposeAbdominal cysts of gastrointestinal origin are rare. Their rarity and varied clinical presentations make their pre-operative diagnosis difficult.MethodsFourteen patients with histological diagnosis of cysts of gastrointestinal origin admitted between 2009 and 2015 were retrospectively analyzed with respect to age, sex, clinical presentation, diagnostic modality, site and type of cyst, management, outcome and follow-up.ResultsThe mean age at presentation was 4 years and there were six males and eight females. Abdominal pain was the most common presenting symptom. Five patients had an acute presentation-three had distal ileal mesenteric cysts and two had ileal duplication cyst sharing a common wall with ileum. Six patients presented with chronic abdominal pain and lump—three patients had omental cysts and three had mesenteric cysts—two of these in distal ileum and one in sigmoid colon. Two patients presented with antenatally diagnosed palpable abdominal lump. One had a mesenteric cyst of the ileum and the other had a distal ileal duplication cyst which required excision with resection and anastomosis. One patient had an atypical presentation. He was a known case of sickle cell trait and had presented with vague abdominal pain, recurrent cough and multiple episodes of haemoptysis over a period of one year. At laparotomy, gastric duplication cyst was found which was excised completely. Histopathology confirmed the diagnosis.ConclusionCysts of gastrointestinal origin are rare and have varied presentation. Surgical excision is the mainstay of treatment. The results and prognosis are good.

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“…[2345]. Abdominal cysts of GI origin are usually mesenteric cysts, enteric duplication cysts, omental cysts and meconium cysts.…”

Section: Discussionmentioning

confidence: 99%

“…This can be accomplished laparoscopically [34]. Bowel resection and anastomosis may be needed in up to 50% to 60% of cases [34591213].…”

Section: Discussionmentioning

confidence: 99%

Cysts of Gastrointestinal Origin in Children: Varied Presentation

Tiwari

Shah

Waghmare

et al. 2017

Pediatr Gastroenterol Hepatol Nutr

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“…Mesenteric cysts are rare benign pathologic entities with an incidence of 1 : 100.000 in adults and 1 : 20.000 in pediatric hospital admissions [1]. In 1507, Benevenni, an Italian anatomist, first illustrated this abdominal finding while performing an autopsy on an 8-year-old boy.…”

Section: Discussionmentioning

confidence: 99%

“…Mesenteric cysts are rare benign pathologic entities with an incidence of 1 : 100.000 in adults and 1 : 20.000 in pediatric hospital admissions [1]. The pathogenesis remains unknown, and they can appear anywhere in the mesentery of the gastrointestinal tract, from the duodenum to the rectum.…”

Section: Introductionmentioning

confidence: 99%

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Complete Surgical Enucleation of a Giant Chylous Mesenteric Cyst

Isaia

Erodotou

Νάκος

et al. 2020

Case Reports in Surgery

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Mesenteric cysts are rare benign abdominal tumors, and they can appear anywhere in the mesentery of the gastrointestinal tract, from the duodenum to the rectum. They are generally asymptomatic and may present as an incidental finding. The diagnosis is confirmed by the laparotomy findings and the results of the histopathological examination. Complete surgical (open or laparoscopic) enucleation of the cyst is the treatment of choice. We present a case of a female patient who presented with abdominal pain and a giant palpable abdominal mass. The patient underwent a surgical exploration which showed a giant mesenteric cyst. A complete surgical enucleation of the cyst was successfully performed without the need of bowel resection. The histopathological examination of the cyst was compatible with the diagnosis of chylous mesenteric cyst.

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