Giant mesenteric cyst: a rare cause of abdominal distension diagnosed with CT and managed with ultrasound-guided drainage

Ma, Alexander; Ayre, Karyn; Wijeyekoon, Sanjaya

doi:10.1136/bcr-02-2012-5916

Cited by 10 publications

(9 citation statements)

References 8 publications

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“…They are generally regarded as benign lesions and the typical recommendation for treatment is complete resection in order to minimize recurrence. There have been reports of laparoscopic excision, even of giant cysts, which often require intraoperative aspiration to assist in removal 10,11 . The incidence of malignancy within mesenteric cysts is often cited to be up to 3%, which originates from Kurtz's analysis of 162 cases reported in the English literature between 1950 and 1986 4 .…”

Section: Discussionmentioning

confidence: 99%

Management of a Ruptured Mucinous Mesenteric Cyst with Hyperthermic Intraperitoneal Chemotherapy

Nelson

Deneve

Dickson

et al. 2014

Tumori

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Mesenteric cysts are rare intra-abdominal cysts that are generally regarded as benign, and the incidence of malignancy is often cited to be 3%. The typical recommendation for treatment is complete excision to minimize recurrence. Excision can be performed laparoscopically, but this can lead to intra-abdominal dissemination of the cyst contents. There has been one case report describing the development of pseudomyxoma peritonei following rupture of a mesenteric cyst. We describe the treatment and outcome of a patient who underwent cytoreductive surgery with hyperthermic intraperitoneal chemotherapy for the treatment of an incompletely resected mucinous cystadenocarcinoma originating from the colonic mesentery.

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Section: Discussionmentioning

confidence: 99%

Management of a Ruptured Mucinous Mesenteric Cyst with Hyperthermic Intraperitoneal Chemotherapy

Nelson

Deneve

Dickson

et al. 2014

Tumori

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“…1). Namnażające się adipocyty są objęte torebką, a w obrazie USG zmiana jest jednorodna i zwykle ma lekko podwyższoną echogeniczność oraz gładkie zarysy; niekiedy poszczególne zrazy są oddzielane przez cienkie przegrody włókniste, a w kolorowym dopplerze zmiana nie jest unaczyniona (1)(2)(3)(4) . Zdarza się, że nowotwór występuje w formie mnogiej (5) (ryc.…”

Section: Pierwotne Nowotwory łAgodne Zawierające Adipocyty Położone W Tłuszczu Wewnątrzbrzusznymunclassified

“…Sometimes, individual lobules are separated from one another by thin fibrous septa. Color Doppler shows no signs of flow (1)(2)(3)(4) . At times, this tumor can be encountered in a multiple form (5) (Fig.…”

Section: Pierwotne Nowotwory łAgodne Zawierające Adipocyty Położone W Tłuszczu Wewnątrzbrzusznymmentioning

confidence: 99%

“…d. Inne guzy łagodne zawierające w swym składzie tkankę tłuszczową, jak: myolipoma, angiomyolipoma, myelolipoma, poza teratoma (które w większości są łagodne), charakteryzują się sonograficznie w różnym stopniu podwyższoną echogenicznością i zazwyczaj są jednorodne (ryc. 3,4). Odwrotnie jest z gruczolakami nadnerczy, które zawierają w swym składzie lipidy i są hipoechogeniczne.…”

Section: Pierwotne Nowotwory łAgodne Zawierające Adipocyty Położone W Tłuszczu Wewnątrzbrzusznymunclassified

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Tłuszcz wewnątrzbrzuszny. Część III. Zmiany nowotworowe tkanki tłuszczowej

2016

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This article focuses on various cancerous lesions that are found beyond organs in the intra-abdominal fat and can be visualized with ultrasonography. These lesions are divided into five groups. The first group includes primary benign tumors containing adipocytes, such as lipoma, lipoblastoma, hibernoma and other lesions with an adipose tissue component, such as myolipoma, angiomyolipoma, myelolipoma and teratoma. The second group comprises primary malignant adipocytecontaining tumors, including liposarcoma and immature teratoma. The third group contains primary benign tumors without an adipocyte component that are located in intra-abdominal fat. This is a numerous group of lesions represented by cystic and solid tumors. The fourth group encompasses primary malignant tumors without an adipocyte component that are located in intra-abdominal fat. These are rare lesions associated mainly with sarcomas: fibrosarcoma, malignant fibrous histiocytoma, hemangiopericytoma and leiomyosarcoma. An epithelioid tumor at this site is mesothelioma. The last but not least group includes secondary malignant tumors without an adipocyte component located in intra-abdominal fat. This is the most numerous group with prevailing carcinoma foci. For each of these groups, the authors present ultrasound features of individual lesions and discuss their differential diagnosis. In the vast majority of cases, the material for cytological and histological analysis can be obtained during ultrasound-guided procedures. This is the advantage of this imaging modality.

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“…Mesenteric cysts are rare tumours, with an incidence of 1/100,000 -1/250,000 [1] and large mesenteric cysts are even less common [2]. The biggest review of case reports found these cysts in the range of 2-36 cm, with 60% associated with the small bowel mesentery, 24% with large bowel and 16% in the retroperitoneum.…”

Section: Introductionmentioning

confidence: 99%

Large mesenteric cyst

Manuel¹,

Cristina²,

Conceição³

et al. 2018

Int J Case Rep Images

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Introduction: Mesenteric cysts are rare benign lesions. They usually remain asymptomatic and in most cases are incidentally discovered. However, they can reach large dimensions conditioning pain, abdominal distension or sensation of an abdominal mass. The definitive diagnosis is often made during surgery that should involve total removal of the lesion. Knowledge of these lesions is important because of the existence of complications associated with ineffective surgery. This paper reports the surgical treatment of a large mesenteric cyst. Case Report: We report a 20-year-old male with an history of abdominal distension without pain, nausea or vomits. The image examinations revealed a large cystic mass involving the entire abdominopelvic cavity. The patient underwent an exploratory laparotomy and the cyst was excised. The histological examination revealed a serous cyst 33 cm in diameter, without evidence of malignancy. Conclusion: Mesenteric cysts are uncommon lesions that can present asymptomatically or with nonspecific symptoms. Complete resection of the cyst could be challenge but is still the best therapy.

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Giant mesenteric cyst: a rare cause of abdominal distension diagnosed with CT and managed with ultrasound-guided drainage

Cited by 10 publications

References 8 publications

Management of a Ruptured Mucinous Mesenteric Cyst with Hyperthermic Intraperitoneal Chemotherapy

Management of a Ruptured Mucinous Mesenteric Cyst with Hyperthermic Intraperitoneal Chemotherapy

Tłuszcz wewnątrzbrzuszny. Część III. Zmiany nowotworowe tkanki tłuszczowej

Large mesenteric cyst

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