1
|
Arayama A, Tomari K, Takayama T, Matsuoka T. Repeated ultrasound tests could be used to identify an isolated gastric duplication cyst before surgery. BMJ Case Rep 2023; 16:e252524. [PMID: 37247948 PMCID: PMC10230933 DOI: 10.1136/bcr-2022-252524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Abstract
A toddler girl was diagnosed with intra-abdominal simple cyst in the splenic flexure at the gestational period. Due to a severe fever that persisted for 6 days, she was admitted to the emergency room. The diagnosis of intraperitoneal cyst infection was made after contrast-enhanced CT revealed an enlarged cyst and a heterogeneous contrast effect on the cyst wall. A double-wall sign was observed on the cyst wall during continuous ultrasound follow-up, which led to the preoperative diagnosis of the cyst as a duplication cyst. The double-wall sign and cyst peristalsis were identified via successive ultrasound examinations to support the cyst diagnosis. Identifying a duplication cyst based solely on symptoms alone is difficult because the condition may present in different ways.
Collapse
Affiliation(s)
- Akane Arayama
- General Pediatrics, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Haebaru-cho, Okinawa, Japan
| | - Kouki Tomari
- General Pediatrics, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Haebaru-cho, Okinawa, Japan
| | - Tomotada Takayama
- General Pediatrics, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Haebaru-cho, Okinawa, Japan
| | - Takashi Matsuoka
- General Pediatrics, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Haebaru-cho, Okinawa, Japan
| |
Collapse
|
2
|
Vallejo-Soto M, Orozco-Simental S. A giant mesenteric cyst mimicking untreatable ascites. REVISTA DE GASTROENTEROLOGÍA DE MÉXICO (ENGLISH EDITION) 2017. [DOI: 10.1016/j.rgmxen.2017.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
|
3
|
Vallejo-Soto M, Orozco-Simental S. A giant mesenteric cyst mimicking untreatable ascites. REVISTA DE GASTROENTEROLOGIA DE MEXICO 2017; 82:348-351. [PMID: 28215472 DOI: 10.1016/j.rgmx.2016.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Revised: 03/30/2016] [Accepted: 04/21/2016] [Indexed: 06/06/2023]
Affiliation(s)
- M Vallejo-Soto
- Servicio de Cirugía General, Hospital Ángeles y Star Médica de Querétaro, Querétaro, México.
| | - S Orozco-Simental
- Clínica de Diagnóstico Servicios Integrados de Imagenología, Querétaro, Querétaro, México
| |
Collapse
|
4
|
Huge mesenteric cyst: Pelvic cysts differential diagnoses dilemma. THE EGYPTIAN JOURNAL OF RADIOLOGY AND NUCLEAR MEDICINE 2016. [DOI: 10.1016/j.ejrnm.2016.01.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
|
5
|
Acute Abdominal Pain Caused by an Infected Mesenteric Cyst in a 24-Year-Old Female. Case Rep Radiol 2016; 2016:8437832. [PMID: 27190668 PMCID: PMC4844871 DOI: 10.1155/2016/8437832] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2015] [Accepted: 03/30/2016] [Indexed: 11/25/2022] Open
Abstract
A mesenteric cyst is a rare cause for abdominal pain. This umbrella term includes cystic entities which reside in the mesentery. We present a case of an infected false mesenteric cyst in a 24-year-old female patient without prior surgery or known trauma. Mainstay of treatment involves surgical resection, although less invasive treatments have been described. Prognosis depends on the origin of the cyst.
Collapse
|
6
|
Laparoscopic Excision of Large Intra-Abdominal Cysts in Children: Needle Hitch Technique. Case Rep Med 2016; 2015:937191. [PMID: 26798349 PMCID: PMC4698560 DOI: 10.1155/2015/937191] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2015] [Accepted: 12/08/2015] [Indexed: 01/22/2023] Open
Abstract
Laparoscopic surgery has both diagnostic and therapeutic advantages in the management of intra-abdominal cysts in children. Large cysts in small children pose technical challenges during laparoscopic surgery, requiring multiple incisions and advanced laparoscopic skills. This paper describes a novel laparoscopic technique using minimal manipulation for both aspiration and excision of the cyst. This simple, safe, and effective approach was used to achieve traction and facilitate excision of a large intra-abdominal cyst in a neonate and a young child.
Collapse
|
7
|
|
8
|
Bolívar-Rodríguez MA, Cazarez-Aguilar MA, Luna-Madrid EE, Morgan-Ortiz F. [Infected jejunal mesenteric pseudocyst: A case report]. CIR CIR 2015; 83:334-8. [PMID: 26123157 DOI: 10.1016/j.circir.2015.05.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2014] [Accepted: 09/25/2014] [Indexed: 10/23/2022]
Abstract
BACKGROUND Mesenteric cysts are very rare abdominal growths, generally asymptomatic, and which are usually detected incidentally while performing a physical examination or an imaging test. Complications such as infections, haemorrhage, torsion, rupture, or bowel obstruction, are seldom found in this pathology, but they can be a cause of acute abdomen. The purpose of this report is to describe the characteristics and the clinical outcome of a male patient with an infected mesenteric pseudocyst of the jejunum. CLINICAL CASE A 49 year-old male was admitted to the emergency department with 6-day onset of abdominal pain, bowel obstruction signs, palpable tumour located in the upper hemi-abdomen, systemic inflammatory response syndrome, 36,100/mm(3) white cells, 4.21 ng/ml procalcitonin, abdominal computed tomography scan with evidence of a mesenteric cystic tumour. An exploratory laparotomy was performed, finding the presence of a mesenteric pseudocyst of the jejunum with infection signs, extirpated and sent for histopathological examination. The clinical progress of the patient was satisfactory with the discharge of the patient 7 days after the surgical intervention. CONCLUSION These cysts can debut as an acute abdomen due to haemorrhage, infection, obstruction and/or bowel perforation, complications can be life threatening if not detected and surgically treated at an early stage by performing a resection of the pseudocysts, with or without bowel resection, depending on the location and the size of the cyst.
Collapse
Affiliation(s)
- Martín Adrián Bolívar-Rodríguez
- Departamento de Cirugía General, Centro de Investigación y Docencia en Ciencias de la Salud, Universidad Autónoma de Sinaloa, Culiacán, Sinaloa, México.
| | - Marcel Antonio Cazarez-Aguilar
- Departamento de Cirugía General, Centro de Investigación y Docencia en Ciencias de la Salud, Universidad Autónoma de Sinaloa, Culiacán, Sinaloa, México
| | - Eduardo Esaú Luna-Madrid
- Departamento de Cirugía General, Centro de Investigación y Docencia en Ciencias de la Salud, Universidad Autónoma de Sinaloa, Culiacán, Sinaloa, México
| | - Fred Morgan-Ortiz
- Departamento de Cirugía General, Centro de Investigación y Docencia en Ciencias de la Salud, Universidad Autónoma de Sinaloa, Culiacán, Sinaloa, México
| |
Collapse
|
9
|
Abstract
INTRODUCTION Mesenteric pseudocyst is a term used to describe an abdominal cystic mass with an unknown abdominal origin. They are rare intra-abdominal masses, with a reported incidence of approximately 1 per 100,000 to 250,000 hospital admissions. Most cysts are benign and they may present differently, such as a disappearing mass or a mass that changes locations, thus posing a diagnostic challenge to the clinician. CASE REPORT We describe a case of a 29-year-old woman who presented with a 2-year history of feeling a large mass within her abdomen, which would then disappear for several days and would frequently change position and be felt in different quadrants of her abdomen. Computed tomography scan of the abdomen revealed a large cystic structure, and a computed tomography- guided biopsy was inconclusive. Diagnostic laparoscopic surgery revealed a firm mass arising from the jejunal mesentery; the patient underwent an en bloc resection. Histopathologic examination of the resected mass revealed a rare diagnosis of mesenteric pseudocyst. Mesenteric pseudocyst should be should be kept high on the list of differential diagnoses when a patient presents with a disappearing mass and/or an abdominal mass that changes location.
Collapse
Affiliation(s)
- Jasneet Singh Bhullar
- Department of Surgery, Providence Hospital and Medical Centers, 16001 West 9 Mile Road, Southfield, MI 48075, USA.
| | - Paraskevi Orfanou
- Department of Surgery, Providence Hospital and Medical Centers, Southfield, MI, USA
| |
Collapse
|
10
|
Yoldemir T, Erenus M. Fatty necrosis of a mesenteric cyst in a woman initially diagnosed with a large ovarian cystic mass. J OBSTET GYNAECOL 2013; 33:534-5. [DOI: 10.3109/01443615.2013.782273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
11
|
Kim EJ, Lee SH, Ahn BK, Baek SU. Acute abdomen caused by an infected mesenteric cyst in the ascending colon: a case report. JOURNAL OF THE KOREAN SOCIETY OF COLOPROCTOLOGY 2011; 27:153-6. [PMID: 21829771 PMCID: PMC3145887 DOI: 10.3393/jksc.2011.27.3.153] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/04/2010] [Accepted: 12/23/2010] [Indexed: 11/25/2022]
Abstract
Mesenteric cysts are rare intra-abdominal tumors. Mesenteric cysts are usually asymptomatic and are incidentally detected during physical or radiological examination. Although uncommon, complications such as infection, bleeding, torsion, rupture and intestinal obstruction cause an acute abdomen. Spontaneous infection is a very rare complication. We present a case of infected mesenteric cysts in the ascending colon, which caused an acute abdomen. A 26-year-old woman was admitted to our hospital with acute abdominal pain. She had a painful mass in the right abdomen on physical examination. Abdominal computed tomography showed a hypodense cystic mass with septation at the mesenteric region of the ascending colon. A laparotomy revealed two cystic tumors at the mesenteric region of the ascending colon. She underwent a right hemicolectomy. The two cysts were filled with a yellowish turbid fluid. The walls of both two cysts were lined with a thin fibrotic membrane without any epithelial cell. They were diagnosed as psuedocysts with E. coli infection. Mesenferic cysts may cause life-threatening complications. Mesenteric cyst, even if it is asymptomatic and was diagnosed incidentally, should be removed completely.
Collapse
Affiliation(s)
- Eun-Ji Kim
- Department of Surgery, Kosin University College of Medicine, Busan, Korea
| | | | | | | |
Collapse
|
12
|
Santana WBD, Poderoso WLS, Alves JAB, Melo VAD, Barros CD, Fakhouri R. [Mesenteric cyst--clinical and pathological aspects]. Rev Col Bras Cir 2011; 37:260-4. [PMID: 21085841 DOI: 10.1590/s0100-69912010000400004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2009] [Accepted: 07/08/2009] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To evaluate epidemiologic, clinical, pathologic and therapeutic characteristics of the mesenteric cysts in hospitals of Sergipe, Brazil. METHODS Mesenteric cysts were assessed by a non-interventional cross-sectional study from the archives of the Pathology Laboratory of Federal University of Sergipe between 1995 and 2007. The charts of the patients were reviewed in order to find out: gender, age, clinical findings, complementary exams and therapeutic approach. RESULTS Eighteen cases of mesenteric cysts were found. Females were more affected (72.2%). Mean of age of the patients was 30.46. More frequent symptoms were pain and abdominal mass. Ultrasonography of abdomen, performed in all patients, was not conclusive in half of the cases. CTscan of abdomen with contrast was performed in six cases, being cystic tumor well identified in all of them. Regarding histopathology, 6 lymphangiomas, 8 mesotheliomas, 1 hemorrhagic cyst in organization and 1 mucinous cyst were found. Surgical treatment was performed in all cases. Intracystic bleeding was the main complication in 3 cases. CONCLUSION The mesenteric cysts presented clinically with unspecific symptoms. CTscan was more effective than ultrasonography for the diagnosis. Lymphangiomas and mesothelioma had been found in equal ratios. The complete resection of the cyst was the treatment of election. There were no deaths in postoperative period.
Collapse
|
13
|
Chang TS, Ricketts R, Abramowsky CR, Cotter BD, Steelman CK, Husain A, Shehata BM. Mesenteric cystic masses: a series of 21 pediatric cases and review of the literature. Fetal Pediatr Pathol 2011; 30:40-4. [PMID: 21204665 DOI: 10.3109/15513815.2010.505623] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Mesenteric cysts, seen in all age groups, represent a rare cause of benign abdominal masses in children. We reviewed 21 patients with mesenteric/omental cysts. Gross and radiologic images, along with histologic sections, were reviewed to categorize the structures and determine the relationship to the mesentery and intestines. The cysts were composed of multi-loculated dilated channels at the serosal surface consistent with lymphangioma. Most treatment was simple excision, infrequently with intestinal resection. Nineteen patients did well after surgery. One patient developed short-gut syndrome after massive bowel resection, and one patient died immediately after birth due to massive fetal hydrops and heart failure.
Collapse
Affiliation(s)
- Tiffany S Chang
- Egleston Hospital, Children's Healthcare of Atlanta, Atlanta, Georgia 30322, USA
| | | | | | | | | | | | | |
Collapse
|
14
|
Large mesenteric cyst mimicking tuberculous ascites. Case Rep Med 2010; 2010:725050. [PMID: 20592987 PMCID: PMC2892693 DOI: 10.1155/2010/725050] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2009] [Revised: 04/16/2010] [Accepted: 04/20/2010] [Indexed: 11/17/2022] Open
Abstract
Background. Intraabdominal lesions such as mesenteric cysts are uncommon disorders. Most are discovered incidentally during routine abdominal examinations. Methods. We report a patient with a mesenteric cyst masquerading as tuberculous peritonitis and ascites. Conclusion. Mesenteric cysts generally do not show typical clinical findings. They may also present with peritoneal tuberculosis findings such as low albumin gradient ascites with high ascitic adenosine deaminase levels. Surgery is used to remove a wide variety of mesenteric cysts. A correct diagnosis can be made by the combined use of radiographic and sonographic examinations in conjunction with the clinical signs.
Collapse
|
15
|
Theodoridis TD, Zepiridis L, Athanatos D, Tzevelekis F, Kellartzis D, Bontis JN. Laparoscopic management of mesenteric cyst: a case report. CASES JOURNAL 2009; 2:132. [PMID: 19200404 PMCID: PMC2649055 DOI: 10.1186/1757-1626-2-132] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/17/2008] [Accepted: 02/08/2009] [Indexed: 11/10/2022]
Abstract
Mesenteric cysts are rare intra-abdominal lesions with variable clinical symptoms and signs that make pre-operative diagnosis difficult. Optimal treatment is surgical excision of the cyst with laparotomy or laparoscopy. We present a case of mesenteric cyst that was misdiagnosed as para-ovarian cyst and managed laparoscopically by gynaecologists.
Collapse
Affiliation(s)
- Theodoros D Theodoridis
- First Department of Obstetrics and Gynaecology, Aristotle University of Thessaloniki, Papageorgiou Hospital, Thessaloniki, Greece.
| | | | | | | | | | | |
Collapse
|
16
|
Aydinli B, Yildirgan MI, Kantarci M, Atamanalp SS, Basoglu M, Ozturk G, Onbas O, Oren D. Giant mesenteric cyst. Dig Dis Sci 2006; 51:1380-2. [PMID: 16868822 DOI: 10.1007/s10620-006-9081-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2005] [Accepted: 09/22/2005] [Indexed: 12/09/2022]
Affiliation(s)
- Bülent Aydinli
- Department of General Surgery, Atatürk University, School of Medicine, Erzurum, Turkey.
| | | | | | | | | | | | | | | |
Collapse
|
17
|
Ramón JF, Ortí C, Andrada E. Rotura espontánea de un seudoquiste mesentérico no pancreático. RADIOLOGIA 2001. [DOI: 10.1016/s0033-8338(01)76954-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|