Mesenteric cysts associated with recurrent small-bowel volvulus: cause or effect?

Abstract

Recurrent small-bowel volvulus is a state of recurrent intermittent or long-standing persistent twisting of small-bowel loops around its mesentery. The association of mesenteric cysts with recurrent small-bowel volvulus as the cause or effect is a much debated issue in the literature. We report two cases of mesenteric lymphangioma and one case of enteric duplication cyst seen in association with recurrent small-bowel volvulus of long duration in absence of malrotation.

Idiopathic lymphatic mesenteric cyst of the proximal jejunum: A case report of an unusual clinical presentation

“…Hypotheses include traumatic, infectious, or embryonic origins [11] . Some authors hypothesize that episodes of intermittent volvulus may result in lymphatic obstruction and thereby lead to the formation of a lymphatic cyst [12] . A possible explanation for the development of the cyst in our patient might be a severe infection or enteritis in childhood leading to an interruption of the lymphatic flow in the proximal jejunum.…”

Adenocarcinoma Originating From a Completely Isolated Duplication Cyst of the Mesentery in an Adult

“…In contrast, these cysts are diagnosed incidentally as asymptomatic disease during adulthood. There are several associated complications, including bleeding, fistula formation, and inflammatory masses 4,5. Furthermore, malignant transformation can occur, although this is rare 6,7.…”