Giant mesenteric cyst as intestinal obstruction in an adult an atypical presentation: case report
PDF (Español (España))

Keywords

Mesenteric cyst
Intestinal obstruction
Cystic mesothelioma

How to Cite

Serrano, J. P., Serrano, J. D., Olarte , C. D., Quintero , D. C. ., & Medina , M. A. . (2023). Giant mesenteric cyst as intestinal obstruction in an adult an atypical presentation: case report. Médicas UIS, 36(3), 83–88. https://doi.org/10.18273/revmed.v36n3-2023007

Abstract

Mesenteric cysts are intra-abdominal tumors with a rare presentation, it is estimated that approximately 1 in every 250 000 hospitalizations in adults, their symptoms are usually secondary to the mass effect since they are generally 10cm in diameter. In this report an adult who came to the emergency department in the context of abdominal pain, absence of depositions, emesis and hyporexia so a tomographic study was performed that showed an extrinsic compression of the distal ileum suspicious of an ovarian cyst with indication of surgical management. What leads us to carry out this report is the size of the cyst, which was documented in 19.5x17x11cm and a weight of 20.15kg, which makes it an atypical presentation that represents a challenge diagnosis and surgical skills in the moment of resection.

https://doi.org/10.18273/revmed.v36n3-2023007
PDF (Español (España))

References

Yavuz Y, Varman A, Şentürk ÜM, Kafadar MT. Mesenteric Cyst in 22 Cases. J Gastrointest Cancer. 2020;52(3):993-996.

Sánchez P, Mier y Díaz J, Blanco R, Martínez JL. Quiste mesentérico. Informe de un caso. Cir & Ciruj. 1999; 67(4):143-145.

Tan JJ, Tan KK, Chew SP. Mesenteric cysts: an institution experience over 14 years and review of literature. World J. Surg. 2009;33(9):1961– 1965.

Al-Harfoushi R, Stevenson L, Binnie N. Mesenteric cyst: Drained and marsupialised laparoscopically avoiding enterectomy. BMJ Case Reports. 2012.

Pola Bandrés G., Millán Gallizo G, Martínez Soriano B, Valcarreres Rivera M. Gian mesenteric cyst as a cause of intestinal obstruction. Cir Esp. 2018: 96(1):51.

Barreto de Santana W, Santos Poderosos WL, Barreto Alves JA, Aragão de Melo V, Barros C, Fakhouri R. Mesenteric cyst–clinical and pathological aspects. Rev Col Bras Cir. 2010;37(4):260-264.

Kwan E, Lau H, Yuen WK. Laparoscopic resection of a mesenteric cyst. Gastrointest Endosc. 2004;59(1):154-156.

Mullaney TG, D'Souza B. Mesenteric cyst: an uncommon cause of acute abdomen. ANZ J Surg. 2019;89(3):98-99.

Mendez-Gallart R, Bautista A, Estévez E, Rodríguez-Barca P. Abdominal cystic lymphangiomas in pediatrics: surgical approach and outcomes. Acta Chir Belg. 2011; 111(6): 374– 377.

Bury TF, Pricolo VE. Malignant transformation of benign mesenteric cyst. Am J Gastroenterol. 1994;89(11):2085–2087.

Spolianski G, Kopelman D, Kimmel B, Hatoum OA. Laparoscopic exploration and treatment for a mesenteric cyst lymphangioma in adults. ANZ J Surg. 2019;89(10):1334-1336.

Rojas CL, Molina GA. Lymphangioma cavernous of the small bowel mesentery, an infrequent cause of acute abdomen in adult. J. Surg Case Rep. 2018;2018(2).

Chen CW, Hsu SD, Lin CH, Cheng MF, Yu JC. Cystic lymphangioma of the jejunal mesentery in an adult: a case report. World J Gastroenterol. 2005;11(32):5084–5086.

Kim EJ, Lee SH, Ahn BK, Baek SU. Acute abdomen caused by an infected mesenteric cyst in the ascending colon: a case report. J Korean Soc Coloproctol. 2011;27(3):153-156.

Richard RR. Mesenteric and omental cysts. 6th ed. Philadelphia: Mosby Elsevier; 2006.

Levy AG, Cantisani V, Miettinen M. Abdominal lymphangiomas: imaging features with pathologic correlation. AJR Am J Roentgenol. 2004;182(6):1485–1491.

Ayyappan AP, Jhaveri KS, Haider MA. Radiological assessment of mesenteric and retroperitoneal cysts in adults: is there a role for chemical shift MRI?. Clin Imaging. 2011;35(2):127-132. Chung MA, Brandt ML, St-Vil D, Yazbeck S. Mesenteric cyst in children. J Pediatr Surg. 1991;26:1306-1308.

Chung MA, Brandt ML, St-Vil D, Yazbeck S. Mesenteric cyst in children. JPediatr Surg. 1991;26:1306-1308.

Roisman I, Manny J, Fields S, Shiloni E. Intraabdominal lymphangioma. Br. J. Surg. 1989; 76: 485–489.

Beahrs OH, Judd ES, Dockerty MB. Chylous cysts of the abdomen. Surg Clin North Am. 1950;30:1081-1096.

De Perrot M, Bründler M, Tötsch M, Mentha G, Morel P. Mesenteric cysts. Toward less confusion?. Dig Surg 2000;17:323-328.

Raghupathy RK, Krishnamurthy P, Rajamani G. Intraabdominal cystic swelling in children - laparoscopic approach, our experience. J Indian Assoc Peditr Surg 2004;8:213-217.

Min JW, Chang MC, Park YC, Go JH. Mesenteric Pseudocyst Causing Intestinal Obstruction. J Korean Surg Soc. 2005;68:339–341.

Prakash A, Agrawal A, Gupta RK, Sanghvi B, Parelkar S. Early management of mesenteric cyst prevents catastrophes: a single centre analysis of 17 cases. Afr J Paediatr Surg. 2010;7(3):140–143.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2023 Médicas UIS

Downloads

Download data is not yet available.