Mesenteric Cysts as Occasion for Abdominal Pain - A Case Report

Abstract

Mesenteric cysts are rare abdominal conditions. The resection of the cyst and the verification of the diagnosis is the treatment of choice.

Chylous Cyst of the Small-Bowel Mesentery: Report of a Case

“…An MCC is most likely a cystic malformation of lymphatic vessels [4,8]. An MCC can be located anywhere in the mesentery between duodenum and rectum; the small-bowel mesentery is the predominant localization [6,9]. In the current case an MCC arose from the mesentery of the upper part of the jejunum.…”

“…In the current case an MCC arose from the mesentery of the upper part of the jejunum. The lack of characteristic clinical features and radiological (US and CT) signs may present great difficulties in the preoperative diagnosis of an MC [5,6,9,10]. Only few reports demonstrated the helpful use of US and CT in the evaluation of this lesion [3].…”

“…Large MCs should always be removed in order to exclude a malignant transformation and to prevent complications, such as rupture, hemorrhage, torsion, or infection [12]. The treatment of choice is the surgical excision of an MCC, which can be done by either laparotomy or laparoscopic surgery [6,[10][11][12][13]. Complete excision of all MCs should be carried out for prevention of recurrence and possible malignant transformation [14].…”

“…However, the preoperative differentiation from pancreatic pseudocysts and cystic pelvic tumors in women is often difficult [5,6]. Here we report the case of a symptomatic mesenteric chylous cyst (MCC), revealed by pain and discomfort in the mesogas- Mishin/Gutsu/Gagauz trium.…”