Mesenteric cyst: sonographic appearance with CT correlation

Geer, Linda L.; Mittelstaedt, Carol A.; Staab, Edward V.; Gaisie, G.

doi:10.1007/bf01625817

Cited by 16 publications

(13 citation statements)

References 9 publications

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“…However, the recoveries were uneventful. US has proved very efficient in the preoperative diagnosis of mesenteric and omental cysts according to some previous reports and our experiences [6,9,11]. In our series, no other single imaging modality can provide more information than US, as it can easily identify the internal septation in the cysts which may be otherwise missed by CT scan.…”

Section: Discussionmentioning

confidence: 76%

“…Mesenteric and omental cysts do not have specific signs or symptoms to allow their clinical diagnosis [3]. Since two initial reports of these sonographic appearance in 1975 [4,5], however, such lesions have been detected with an increasing frequency [6][7][8][9][10][11]. This article presents our experience with 15 additional cases evaluated at our institution during the past 12 years.…”

mentioning

confidence: 97%

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Mesenteric and omental cysts: An ultrasonographic and clinical study of 15 patients

Chou

Tiu

Lui

et al. 1991

Gastrointest Radiol

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The clinical and ultrasonographic (US) features of 15 cases of mesenteric or omental cyst are herein described. This series included seven male and eight female patients, whose age ranged from 2-89 years. Correct clinical diagnosis was made in two children only, but preoperative US examination accurately demonstrated the lesion in 11 of 13 patients (85%). These cystic lesions usually had a thin wall, internal septations, and fluid content with sedimentation. Enteric duplication cysts had a relatively thick wall merging with the muscle layer of bowel loop, and multiloculation was noted mainly with cystic lymphangiomas or pseudocysts. The diagnostic and surgical management of these lesions are briefly reviewed and their US appearance is illustrated.

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Section: Discussionmentioning

confidence: 76%

mentioning

confidence: 97%

Mesenteric and omental cysts: An ultrasonographic and clinical study of 15 patients

Chou

Tiu

Lui

et al. 1991

Gastrointest Radiol

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“…Ultrasound correctly identified the presence of a mesenteric cyst in each of our symptomatic patients but could not correctly differentiate a chylous cyst from a serous cyst. This is not unusual since even though the sonographic appearance has been described there remain no definite criteria for distinguishing chy lous cysts from other mesenteric cysts [36,37]. Similarly, even though computed tomography accurately depicts the lesion, substantial overlap exists in the imaging find ings of the cysts that a correct preoperative diagnosis may not be possible [38].…”

Section: Discussionmentioning

confidence: 95%

Mesenteric Cysts: An Overview

Carty¹,

Conter²

1990

Dig Surg

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Mesenteric cysts are unusual abdominal tumors. The clinical presentation of patients with mesenteric cysts is variable and often mimics other intra-abdominal disease processes. In an effort to assess our management of these patients, the medical records of all patients with a diagnosis of mesenteric cyst seen at the Pennsylvania State University, Milton S. Hershey Medical Center, from 1973 through 1988 were reviewed. Patients with omental or retroperitoneal cysts were excluded from this study. The diagnosis was established either by laparotomy or autopsy in 9 patients, 6 women and 3 men with a mean age of 49.6 years. The mean duration of symptoms was 2.4 months (range 5 days to 8.4 months). The most common symptoms were abdominal pain, nausea and early satiety; however, 4 patients were completely asymptomatic. Ultrasound and CT scans were the most helpful diagnostic tests. At elective laparotomy, cysts were managed by enucleation or incontinuity bowel resection. Cysts were found most commonly in the small bowel mesentery (44%) and volumes ranged from 1 to 4,890 cm³ (average 890 cm³). Pathologic examination showed the cyst fluid to be serous in 6 patients and chylous in 2 patients without malignant changes. However, in 1 patient whose cyst was filled with hemorrhagic gelatinous material, histology confirmed a low-grade leiomyoblastoma. There were no operative mortalities and no evidence of recurrence during a mean follow-up period of 44 months. We conclude that because of the definite risk of neoplastic disease, all patients diagnosed with mesenteric cysts either preoperatively or incidentally at laparotomy should undergo enucleation or incontinuity resection as the treatment of choice for mesenteric cysts.

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“…Ultrasonography demonstrates the typical appearance of well-de®ned, anechoic masses, sometimes loculated or septated ascites [5].…”

Section: Discussionmentioning

confidence: 99%