Laparoscopic removal of a mesenteric cyst: A case report

Kalampokas, Emmanouil; Giannis, Georgios; Kalampokas, Theodoros; Eleftheriades, Makarios; Panoulis, Konstantinos; Vlahos, Nikolaos

doi:10.1002/ijgo.14002

Intl J Gynecology & Obste

2021

DOI: 10.1002/ijgo.14002

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Laparoscopic removal of a mesenteric cyst: A case report

Emmanouil Kalampokas

Georgios Giannis

Theodoros Kalampokas

et al.

Abstract: Synopsis The present study reports a case involving laparoscopic removal of a large small bowel mesenteric cyst, initially diagnostically assumed to be an undetermined ovarian cyst.

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2024

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Mesenteric Cyst Masquerading as Ovarian Cyst

Kirti,

Lamba,

Phalgune

2024

Kerala Surgical Journal

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Mesenteric cysts are rare benign abdominal lesions that possess the risk of malignant transformation in 3% of reported cases. Most cysts are asymptomatic and can affect practically any abdominal quadrant. They are diagnosed incidentally or during the management of their complications. Ultrasonography, computed tomography scan, magnetic resonance imaging and histopathology are needed for the diagnosis. They can mimic multiple other cysts; hence, their timely diagnosis is of utmost importance. The mainstay of treatment is surgical excision of the cyst, which is essential to prevent the recurrence of malignant transformation. We present a rare case of a 40-year-old female patient with no known comorbidities who started feeling weakness with gradual onset and was increasing. We successfully removed a mesenteric cyst of size approximately 10 cm × 6 cm × 5 cm. This article aims to educate the readers and to make fellow surgeons well aware of this condition for better diagnosis and treatment.

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Mesenteric Cyst Masquerading as Ovarian Cyst

Kirti,

Lamba,

Phalgune

2024

Kerala Surgical Journal

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Mesenteric cysts

Gutu,

Mishin,

Guzun

et al. 2024

Pol Przegl Chir

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Introduction: Mesenteric cysts (MCs) are a rare pathology of the abdominal cavity (with an incidence of 1/27.000 to 1/250.000 admissions) and less than 1000 cases have been described in the specialized literature.Aim: To identify the characteristics of clinical manifestations, diagnosis and treatment of MCs.Materials and methods: Within 2001-2017 seventeen consecutive patients with MCs were observed. Ultrasound scan (n=17), computed tomography (n=15) and magnetic resonance imaging (n=1) were used to diagnose MC.Results: The mean age of patients with MCs was 43.43.5 years (range from 19 to 67), with a significant predominance of women (n=14, 82.4%). The main clinical symptoms of MCs included abdominal pain (n=9, 52.9%), pain + abdominal discomfort (n=4, 23.5%), abdominal pain + nausea (n=2, 11.8%) and abdominal discomfort (n=2, 11.8%). In 13(76%) cases, a palpable mass was noted in abdominal cavity. According to imaging studies, the largest size of the MCs was 12.11.2 (from 5 to 20 cm) and the smallest – 8.60.8 (from 4 to 15 cm). The density of MCs contents by computed tomography data varied from 2 to 26 HU. All patients underwent surgery via laparotomy. MCs were significantly more often located in the mesentery of the large bowel (n=14, 82.4%) compared with small intestine (n=3, 17.6%). The MCs of small intestine in all cases were located in the mesentery of jejunum, whereas in the colon lesions were distributed as follows: cecum (n=1, 7.1%), ascending (n=3, 21.4%), transverse (n=7, 50%) and sigmoid colon (n=3, 21.4%). Majority of MCs (n=16, 94.1%) were enucleated, and only in one case segmental resection of small intestine with MCs was performed. The histopathological examination revealed: simple mesothelial MC – in 8(47.1%), simple lymphatic MC – in 7(41.2%) and lymphangioma – in 2(11.7%) cases. Conclusions: MCs is a rare pathology of abdominal organs. The clinical manifestations of MCs are nonspecific, and the final diagnosis becomes apparent only during surgery. In most cases, it is possible to perform MCs enucleation without long-term recurrence.

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Laparoscopic removal of a mesenteric cyst: A case report

Abstract: Synopsis The present study reports a case involving laparoscopic removal of a large small bowel mesenteric cyst, initially diagnostically assumed to be an undetermined ovarian cyst.

Cited by 2 publications

References 5 publications

Mesenteric Cyst Masquerading as Ovarian Cyst

Mesenteric Cyst Masquerading as Ovarian Cyst

Mesenteric cysts

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