[On mesenteric cysts. Communication of a personal case].
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Basing on the literature data and own experience with 9 patients the authors have come to the conclusion that mesenteric cysts occurred only in 0.01% of children operated on urgent indications. In 6 children surgical interventions were carried out for the clinical picture analogous to that of acute appendicitis, 3 patients were operated upon for the clinical picture of ileus.
A 43-year old female with an 8 month history of abdominal discomfort was admitted to our hospital. The initial diagnosis was splenomegaly. Laboratory tests were normal. Ultrasounds revealed a mass (9 cm) of general cystic appearance ventral to the left kidney with a flat-fluid level. At CT, the mass showed fat density above and water density below the fluid level. Differential diagnoses are discussed. The final diagnosis of a mesenteric cyst could be established by coeliac and superior mesenteric arteriography and was confirmed histopathologically.
The authors report a rare case of renal failure secondary to abdominal cyst in a newborn girl. The clinical presentation was one of a largely distended abdomen coupled with anuria. The histopathologic and clinical findings suggest mesenteric cyst causing renal failure by mass effect.
A case of mesenteric chylous cyst containing an unusual fluid-fluid level demonstrated on computed tomography but not on ultrasonography is presented.
A 10-year-old girl presented with colicky abdominal pain and a vague left sided mass on physical examination. Plain radiographs of the abdomen were unremarkable but ultrasound examination demonstrated a large right sided unilocular cystic abdominal mass. Computed tomographic features were diagnostic of volvulus of the proximal small bowel with associated mesenteric cyst. Surgery confirmed CT findings and no mid gut malrotation was noted at operation.
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Cystic mesenteric tumors are rare abdominal neoplasms. We report a 55-year-old man with recurrent benign mesothelioma arising from the left colonic mesentery and extending into the scrotal sac. He recovered well after excision of the abdominal and scrotal mass.
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