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Total excision of mesenteric cysts by laparoscopic surgery: report of two cases.

Mesenteric cysts are relatively rare tumors, and most patients present nonspecific abdominal symptoms until developing larger cysts. We report two cases of mesenteric cysts that were totally excised during laparoscopic surgery. The cysts of both patients were located in the mesenterium of the cecum or ascending colon. Under laparoscopy, the cyst was punctured to collect the cystic fluid for cytology and then completely removed without bowel resection. Histological examination revealed cystic lymphangiomas with endothelial cell lining. The postoperative course was uneventful. Laparoscopic treatment of benign abdominal cysts is an alternative safe and less invasive operation.

Aged↗

Laparoscopic enucleation of mesenteric cyst: a case report.

Intra-abdominal lesions, such as mesenteric cysts, are uncommon disorders. Most are discovered incidentally during routine abdominal examinations. They generally do not show typical clinical findings. Laparoscopic surgery has been used to remove a wide variety of mesenteric cysts. We report a patient with a mesenteric cyst, who was treated by laparoscopic enucleation.

Aged↗

Omental and mesenteric cysts in Nigerian children.

Omental and mesenteric cysts are rare intra-abdominal lesions which may be congenital, traumatic, neoplastic or infectious in origin. They give rise to non-specific clinical features and may be a cause of the surgical acute abdomen, especially in children. Correct preoperative diagnosis is infrequent but a high index of suspicion and use of ultrasonography when available would improve clinical diagnosis. Six omental and mesenteric cysts encountered in five children over a 10-year period (1978-87) are reported. All the cysts were congenital. Three patients presented with non-specific symptoms and two presented with acute abdomen. Correct preoperative diagnosis was made in two patients. All five patients had surgery. Two had enucleation of the cysts, two had excision of the cysts with adjacent bowel segment and one patient with two cysts had partial excision of the wall of the cysts with free internal drainage into the peritoneal cavity. All patients survived.

Adolescent↗

Laparoscopic resection of a giant mesenteric cyst.

Laparoscopic resection of a giant retroperitoneal, mesenteric cyst in a 38-year-old man who presented with abdominal distension and pedal edema is described. The diagnosis was made by abdominal computed tomography, which revealed a large cystic mass that was causing extrinsic compression of the inferior vena cava and the right ureter. The hospital course was uneventful, and the patient was discharged 2 days postoperatively. This new endoscopic approach offers a useful alternative to the traditional transabdominal excision of a mesenteric cyst and may have some theoretical advantages, including less postoperative pain and shorter convalescence.

Adult↗

Urogenital mesenteric cyst with fallopian tubal features.

Urogenital cysts are retroperitoneal or mesenteric cysts that are derived from vestigial remnants of the embryonic urogenital apparatus. Although their precise embryonic origins are usually obscure, occasionally they display histologic features indicative of a mesonephric or metanephric origin. This report describes an unusual mesenteric müllerian cyst consisting of an endosalpingial lining and two-layered smooth muscle walls, probably representing a müllerian duct duplication cyst.

Fallopian Tubes↗

[Abdominal cystic lymphangiomas and mesenteric cysts: the clinical considerations].

The authors present their experience about intra-abdominal lymphangiomas and mesenteric cysts. The histologic evidence shows that these lesions are different. An exact histologic diagnosis is important because lymphangiomas are more invasive and relapsing than mesenteric cysts. Of 8 cases founded at laparotomy, 6 were lymphangiomas and 2 mesenteric cysts. Larger lesions were caused by lymphangiomas (mean, 11 cm vs 6 cm) when compared with mesenteric cysts. Complete resection was possible in all 8 patients, without recurrence after a mean follow-up of 4 years.

Abdominal Neoplasms↗

Carcinoma arising in a mesenteric cyst.

A report is presented in which a mesenteric cyst underwent a malignant change. A survey of the origin, symptoms, and treatment of mesenteric cysts is also included. The histologic picture of the case is described, the origin of the cyst discussed, and a comparison made with the two similar cases reported in the literature.

Abdominal Neoplasms↗

Mesenteric cyst--an unusual presentation.

Mesenteric and retroperitoneal cysts develop from ectopic lymphatic tissue. Most of them present as symptomless abdominal swellings or are found coincidentally during abdominal operations. One third of patients may present with acute abdominal pain, and few may present with chronic abdominal pain. However, mesenteric cyst presenting as inguinal hernia is extremely rare. Only four cases have been reported in the English-language literature. The present case is the fifth, and only the second from this subcontinent. The treatment of choice is complete surgical excision.

Diagnosis, Differential↗

A case of mesenteric cyst diagnosed by ultrasound examination and a review of Japanese literatures.

Mesenteric cyst is relatively rare, and its diagnosis is difficult. We carried out an ultrasound examination on a 6-year-old boy who showed intestinal obstruction. This examination revealed an abdominal mass, and he was diagnosed as mesenteric cyst. Later it was confirmed by operation. The histopathological examination revealed that it was a lymphangioma. A review was also carried out on 288 cases of mesenteric cyst in Japan.

Child↗

Calcified mesenteric cyst.

Reported is a case of a calcified mesenteric cyst that was causing obstruction of the small bowel. Because only roughly one case occurs per 100,000 hospital admissions, mesenteric cysts are rarely thought of and may be difficult to diagnose. The differential diagnosis includes such critical lesions as aortic aneurysm, pancreatitis, ovarian cysts, omental cysts, and lipomas of the mesentery. The proper treatment of these rare lesions is somewhat influenced by causative factors: embryonic, traumatic, neoplastic, infectious, or degenerative. Surgical excision or enucleation is preferred to internal or external drainage. Ultrasonography is becoming increasingly valuable as a diagnostic tool.

Aged↗

Bowel obstruction secondary to mesenteric cyst formation.

A rare cause of intra-abdominal obstruction, mesenteric cysts derive from lymphatic tissue. The differential diagnosis should include mesenteric cyst when the patient presents with a history of multiple episodes of partial small-bowel obstruction or with an asymptomatic abdominal mass. A year-old girl was brought to the Family Practice Center with episodic, sharp, nonradiating, left-sided, mid-upper-abdominal pain. Examination indicated a possible diagnosis of mesenteric adenitis. Due to variation in the signs and symptoms of the condition, it appears that the use of ultrasonography is the most effective, nonoperative method of evaluation. Ultrasonography appears to be the most effective, nonoperative method of evaluation. Surgery is the only definitive diagnostic and therapeutic modality.

Child, Preschool↗

Recurrent retroperitoneal mesenteric cyst. A case report and review.

A mesenteric cyst is an uncommon cause of a palpable abdominal mass. A correct preoperative diagnosis can be made by the combined use of radiographic and sonographic examinations in conjunction with the clinical features. A patient with a retroperitoneal cyst extending into the leaves of the mesentery is presented. The cyst recurred 4 years after surgery.

Child↗

[Mesenteric cysts in childhood].

5 children with mesenteric cysts, 3 boys and 2 girls, aged 2 to 10 years, were admitted with acute abdominal pain. In adults the most common symptom is chronic abdominal pain whereas in children the onset of symptoms is acute due to intestinal obstruction. Sonography, performed in two patients, is the diagnostic method of choice. Excision of the cyst required resection of the small intestine in 2 patients, while simple enucleation was possible in 3. All 5 patients survived, and there have been neither complications nor recurrences. Early recognition and appropriate resection of these occasionally life-threatening malformations are associated with a good prognosis.

Abdomen, Acute↗

Mesenteric cyst of lymphatic origin: a radiopathological correlation and case report.

Mesenteric cysts are uncommon abdominal masses in children. They occur most frequently in the small bowel mesentery and often contain chylous fluid. These cysts may be multilocular, grow to huge proportions and are believed to be caused by obstructed, malformed, ectopic lymphatic tissue. The patients' clinical presentations is dependent on cyst size, location and related complications such as partial or complete bowel obstruction, perforation, peritonitis, volvulus and malignant degeneration. Surgical resection is the treatment of choice. Ultrasound and CT are the most valuable modalities for evaluating mesenteric cysts.

Abdominal Neoplasms↗

[Mesenteric cyst as a cause of acute abdomen. Report of 3 cases].

Mesenteric cyst is a tumor of multiple origins that surely are found more frequently than the literature report, at any rate, this tumor is uncommon. Because of absence of characteristic clinical findings, diagnosis cumbersome, until these cysts are of such a size that palpation becomes possible or when they cause compression to nearby viscera. Occasionally, diagnosis is made during surgery, even when it was emergency surgery. The present paper reports on three patients with mesenteric cyst found during surgery as emergency treatment. Histopathologic reports showed lymphangioma in two cases and leiomyosarcoma in one case, quite uncommon in this kind of lesion.

Abdomen, Acute↗

[Mesenteric cysts: etiopathogenetic and clinical considerations and a case report].

According to the literature authors describe the etiopathology and symptoms of a case of uncomplicated mesenteric cyst observed and treated by simple enucleation. Therefore after describing the peculiarity of this disease, authors underline the difficulty of diagnosis also using instrumental devices such as ultrasound and CT scan. In particular complicated mesenteric cyst is pointed out because it may be responsible of acute abdomen. About treatment of uncomplicated mesenteric cyst the always more frequent use of laparoscopy is underlined.

Abdomen, Acute↗

[Mesenteric cyst. Presentation of 2 cases, one with secondary intestinal occlusion].

Following a broad review of the rarity and unusual nature of the condition, two cases of mesenteric cysts are reported. The first was seen in a girl in whom onset involved a picture of acute intestinal occlusion secondary to the development of mesenteric cyst. This was treated by demolition surgery because of the cyst's close links with adjacent structures. The second cases was seen in a woman. In this case it was possible to remove the cyst conservatively. In the light of experience also, anatomo-clinical study of the cases forms the basis for some conclusions on the pathogenetic problem of mesenteric on the pathogenetic problem of mesenteric cysts, congenital or acquired expressions of lymphatic flow decompensation.

Adult↗