Chylous cyst of the mesentery: US and CT diagnosis

Fujita, Naotaka; Noda, Yutaka; Kobayashi, Go; K, Kimura; Watanabe, Haruo; Masu, Kaori; Nagano, Masahiro; Mochizuki, Fukuji; Yusa, S.; Yamazaki, Takashi

doi:10.1007/bf00200410

Cited by 44 publications

(47 citation statements)

References 6 publications

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“…Concerning this case, even a mesenteric cyst presenting with inguinal hernia was reported [1]. The diagnosis is difficult without the characteristic clinical findings and late diagnosis and inappropriate treatment sometimes occur [8].…”

Section: Discussionmentioning

confidence: 81%

A Giant Mesenteric Cyst: A Rare Entity in Childhood Surgical Spectrum

Özkisacik¹,

Yazıcı²,

Çulhacı³

et al. 2010

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Aim: Mesenteric cysts are rare abdominal masses which cause vomiting and distention and may be complicated with volvulus, bleeding, torsion and rupture, gastrointestinal perforation and even urinary obstruction. We present a patient with a mesenteric cyst causing gastrointestinal obstruction which treated surgically. Case: A 3 years old male patient was admitted to our hospital with symptoms of vomiting, constipation and abdominal distention. Plain abdominal anteroposterior X-ray study showed air-fluid levels and abdominal ultrasonography revealed a cystic mass of 15 × 8 cms. Abdominal computerized tomographic examination with and without contrast material revealed a giant cystic mass with septations together with secondary findings of intestinal obstruction. Exploratory laparotomy via midline incision was made. A cystic mass containing a clear fluid was observed. The mass was obstructing the ileal passage. The cyst together with 10 cms. of ileum were removed and an ileo-ileostomy was made. Pathological examination was consistent with mesenteric cyst. He was discharged to full recovery with a symptom-free postoperative tenth day. The child is doing well at 1 year after surgery. Discussion: Mesenteric cysts, although they are rare, can be easily diagnosed modern diagnostic imaging methods and treated surgically.

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Section: Discussionmentioning

confidence: 81%

A Giant Mesenteric Cyst: A Rare Entity in Childhood Surgical Spectrum

Özkisacik¹,

Yazıcı²,

Çulhacı³

et al. 2010

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“…Therefore, to prevent confusion with much more common pancreatic pseudocyst, mesenteric pseudocysts are called as nonpancreatic pseudocyst. They may be found incidentally on an asymptomatic patient; abdominal pain, nausea, and vomiting are the most frequently reported symptoms (4). A palpable mass is often the only finding on physical examination (4).…”

Section: Discussionmentioning

confidence: 99%

“…A palpable mass is often the only finding on physical examination (4). On gross pathological examination, nonpancreatic pseudocysts appear as unilocular, thickwalled cystic mass in the mesentery or omentum with serous, hemorrhagic, purulent or occasionally chylous content (3)(4)(5)(6). The wall of a nonpancreatic pseudocyst contains no endothelial lining on histopathologic examination and is composed of fibrous tissue that may present calcifications and inflammatory changes (3-6).…”

Section: Discussionmentioning

confidence: 99%

CT And MR Imaging Features of a Non-Pancreatic Pseudocyst of the Mesentery

et al. 2009

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Wide range of congenital and acquired cysts that arise from various tissue linings of the abdomen are grouped as mesenteric cysts. A non-pancreatic pseudocyst of the mesentery is an uncommon, acquired pathologic entity, developing secondary to trauma or infection. Awareness of the imaging features of nonpancreatic pseudocyst may help radiologists to differentiate them other abdominal neoplastic processes and may prevent unnecessary surgery. We report CT and MR imaging features of a non-pancreatic pseudocyst of the mesentery.

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“…The abdominal computed tomography showed cystic formation with thin walls the abdomen, with the aid of the signal of Tillauxmobilization of the cyst as a whole on deep abdominal palpation 4 . Confirmation occurs with ultrasonography and CT scan to help differentiate between solid and cystic masses and to assess involvement of adjacent structures 5,8,10,11,13 . Laboratory tests are not useful in these cases.…”

Section: Case Reportmentioning

confidence: 99%