Radiological workup in mesenteric cysts

Mihmanlı, İsmail; Erdogan, Nuray; Kuruğoğlu, Sebuh; Aksoy, Şemsi Mustafa; Korman, Uğur

doi:10.1016/s0899-7071(01)00250-9

Cited by 19 publications

(20 citation statements)

References 9 publications

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“…But this method is not entirely reliable for determinate the visceral localization of cyst [10]. CT image can be better delineated adjacent organs to the cyst [6]. According to these radiologic images we thought firstly mesenteric cyst and volvulus dependent on this giant cyst of our patient.…”

Section: Discussionmentioning

confidence: 98%

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A Giant Mesenteric Cyst: A Rare Entity in Childhood Surgical Spectrum

Özkisacik¹,

Yazıcı²,

Çulhacı³

et al. 2010

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Aim: Mesenteric cysts are rare abdominal masses which cause vomiting and distention and may be complicated with volvulus, bleeding, torsion and rupture, gastrointestinal perforation and even urinary obstruction. We present a patient with a mesenteric cyst causing gastrointestinal obstruction which treated surgically. Case: A 3 years old male patient was admitted to our hospital with symptoms of vomiting, constipation and abdominal distention. Plain abdominal anteroposterior X-ray study showed air-fluid levels and abdominal ultrasonography revealed a cystic mass of 15 × 8 cms. Abdominal computerized tomographic examination with and without contrast material revealed a giant cystic mass with septations together with secondary findings of intestinal obstruction. Exploratory laparotomy via midline incision was made. A cystic mass containing a clear fluid was observed. The mass was obstructing the ileal passage. The cyst together with 10 cms. of ileum were removed and an ileo-ileostomy was made. Pathological examination was consistent with mesenteric cyst. He was discharged to full recovery with a symptom-free postoperative tenth day. The child is doing well at 1 year after surgery. Discussion: Mesenteric cysts, although they are rare, can be easily diagnosed modern diagnostic imaging methods and treated surgically.

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Section: Discussionmentioning

confidence: 98%

“…The symptoms are clinically pain, volvulus, vomiting, tortion, bleeding, gastrointestinal perforation, urinary obstruction and rarely cyst rupture [5]. There is no specific sign or symptom and most of the mesenteric cysts remain asymptomatic [6]. The diagnosis is usually done during the surgery incidentally [7].…”

Section: Discussionmentioning

confidence: 99%

A Giant Mesenteric Cyst: A Rare Entity in Childhood Surgical Spectrum

Özkisacik¹,

Yazıcı²,

Çulhacı³

et al. 2010

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“…Complete excision is the treatment of choice because of the possibilities of recurrence and malignant transformation seen in 3% of cases [1][2][3][4][5][6][7] . The laparoscopic approach is replacing open surgical procedures [2,4,14,15]. Partial bowel resection may be necessary because of the transecting neighboring bowel vessels [7,11].…”

Section: Discussionmentioning

confidence: 99%

Rupture of a Gıant Mesenterıc Cyst after a Penetratıng Abdomınal Trauma

Yanar¹,

Ağcaoğlu²,

Özçınar³

et al. 2015

JCR

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Abstract:Benign cystic tumors are rare intra-abdominal lesions that may be retroperitoneal, mesenteric, or omental. Their rarity had fostered a lack of information and difficulty in classification. Most of them cause nonspecific symptoms, rarely they cause serious complications such as volvulus, rupture or bowel obstruction and treatment is indicated if they become symptomatic due to enlargement of the cyst. We present a patient with a ruptured giant mesenteric cyst due to a penetrating abdominal trauma and treated successfully by surgical intervention. To our best of knowledge, this is the first case reported in the English literature with a ruptured mesenteric cyst after penetrating abdominal trauma.

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“…tion [4][5][6], In diagnosis of mesenteric cysts, ultrasonography is the first-line diagnostic method [7]. Other image modalities including plain abdominal radiographs, gastrointestinal study using barium, CT, and magnetic resonance imaging (MRI) could be used in selected patients.…”

Section: Discussionmentioning

confidence: 99%

A case of mesenteric cyst confused with ovarian endometrioma

Lee

Jee

2012

Korean J Obstet Gynecol

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Mesenteric cysts are usually not considered in the differential diagnosis of pelvic cystic masses. The more common considerations for pelvic cystic masses include ovarian cysts such as, endometrioma, dermoid cyst, and other neoplasm. Here we report a case of 15-year-old girl with pelvic cystic mass; it was initially thought to be ovarian endometrioma, but the operative and histologic findings revealed a mesenteric cyst.Keywords: Mesenteric cyst; Ovarian cyst; Pelvic; Endometrioma Received: 2012.5.25. Revised: 2012.7.10. Accepted: 2012.10. Corresponding author: Byung Chul Jee, MD, PhD Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, 300 Gumi-ro, This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2012. Korean Society of Obstetrics and GynecologyMesenteric cysts are rare disease and usually not considered in the differential diagnosis of pelvic cystic masses. Since most mesenteric cysts are usually asymptomatic, they tend to be diagnosed incidentally during imaging tests or surgery [1]. In order to exclude malignant transformation and prevent further complications, large mesenteric cysts are recommended to be removed. Complete surgical resection is the treatment of choice with the excellent longterm prognosis [2]. Here we report a case of incidental mesenteric cyst, which was confused with ovarian endometrioma in preoperative assessment. Case ReportA 15-year-old girl presented with history of irregular menstruation and an incidental pelvic cystic mass. The patient did not complain of dysmenorrhea, and denied sexual activity. The past medical history was unremarkable. Laboratory tests including complete blood cell count and renal and liver function tests were all normal, except slightly increased alanine aminotransferase (ALT) (68 IU/L). The level of CA-125, CA-19-9, and carcinoembryonic antigen were 20.6 IU/mL, 0.6 IU/mL, and 1.9 ng/mL, respectively (all were within normal range). In computed tomographic scan (CT), the cystic mass was 10.5 × 7.9 × 7.6 cm sized, unilocular shaped, and had relatively thick and prominent wall. It was supposed that the cyst doesn't contain fat component or calcified materials. The origin of cystic mass was supposed to be her right ovary (Fig. 1). In addition, considering its homogeneously hypoechoic cyst fluid and thick wall in ultrasonogram (Fig. 2), the cystic mass was thought to be right ovarian endometrioma. Based on the clinical impression of an ovarian endometrioma, laparoscopic approach was planned to perform right ovarian cystectomy. During the operation, it was confirmed that the origin of the cystic mass was not ovary, but mesentery (Fig. 3A). Both ovaries were intact (Fig. 3B). To define and make delicate resection, surgical appr...

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Radiological workup in mesenteric cysts

Cited by 19 publications

References 9 publications

A Giant Mesenteric Cyst: A Rare Entity in Childhood Surgical Spectrum

A Giant Mesenteric Cyst: A Rare Entity in Childhood Surgical Spectrum

Rupture of a Gıant Mesenterıc Cyst after a Penetratıng Abdomınal Trauma

A case of mesenteric cyst confused with ovarian endometrioma

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