A mesentric cyst is a rare intra abdominal benign pathology. They are found in the mesentry of small bowel (66%) and large
intestine (33%), usually in the right colon. Very few cases have been reported of tumours found in mesentry of descending
colon, sigmoid or rectum. Mesentric cysts do not show classical clinical findings and are detected incidentally during
imaging due to absent or non-specific clinical presentation or during management of one of their complications. Optimal
surgical management requires complete excision of the lesions. Although they are invariably benign, a full laparotomy
has been the conventional approach for resection, often via a large midline incision. The advantage of minimally invasive
surgery has allowed resection of the cysts, without need for a full laparotomy, with the benefit of improved cosmetics, less
postoperative pain, and shorter hospital stay. However, laparoscopy can be technically challenging with large intra
abdominal cysts. This is mainly due to lack of intra abdominal space and poor ergonomics in relation to port placements
with large cysts. We report the incident of a 44-year-old female. A USG and computed tomography scan followed to help
diagnose the lesion as a cyst. She underwent laproscopic removal and the cyst was enucleated intact. Postoperative
period was uneventful and pathological examination showed a benign mesentric cyst .
Objectives of this study is to analyze our experience with emphasis on the presentation, management, and outcome.
Laproscopy not only helps in diagnosing the site and origin of the mesentric cyst but also has a therapeutic role. Laproscopic
treatment of mesentric cyst is a safe, preferred method of treatment and is a less-invasive surgical technique. Here, we
present an unusual case of mesentric cyst arising from Ascending colon treated by laproscopic excision.