A Giant Mesenteric Cyst: A Rare Entity in Childhood Surgical Spectrum

Sezen Ozkisacik, Mesut Yazici, Nil Culhaci, Harun Gursoy

.

DOI: 10.4236/ss.2010.12011                

Abstract

Aim: Mesenteric cysts are rare abdominal masses which cause vomiting and distention and may be complicated with volvulus, bleeding, torsion and rupture, gastrointestinal perforation and even urinary obstruction. We present a patient with a mesenteric cyst causing gastrointestinal obstruction which treated surgically. Case: A 3 years old male patient was admitted to our hospital with symptoms of vomiting, constipation and abdominal distention. Plain abdominal anteroposterior X-ray study showed air-fluid levels and abdominal ultrasonography revealed a cystic mass of 15 × 8 cms. Abdominal computerized tomographic examination with and without contrast material revealed a giant cystic mass with septations together with secondary findings of intestinal obstruction. Exploratory laparotomy via midline incision was made. A cystic mass containing a clear fluid was observed. The mass was obstructing the ileal passage. The cyst together with 10 cms. of ileum were removed and an ileo-ileostomy was made. Pathological examination was consistent with mesenteric cyst. He was discharged to full recovery with a symptom-free postoperative tenth day. The child is doing well at 1 year after surgery. Discussion: Mesenteric cysts, although they are rare, can be easily diagnosed modern diagnostic imaging methods and treated surgically.

Keywords

Mesenteric Cyst, Giantsurgical Teatment

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	S. K. Mohanty, R. K. Bal and K. K. Maudar, “Mesen- teric Cyst—An Unusual Presentation,” Journal of Pedia- tric Surgery, Vol. 33, No. 5, 1998, pp. 792-793.
[2]	S. Sander, N. Sarimurat and E. Erdo?an, “Mezenter Kistleri,” Pediatrik Cerrahi Dergisi (in Turkish), Vol. 5, No. 5, 1991, pp. 144-146.
[3]	R. J. Kurtz, T. M. Heimann and J. Holt, “Mesenteric and Retroperitoneal Cysts,” Annals of Surgery, Vol. 203, No. 1, 1986, pp. 109-112.
[4]	V. W. Vanek and A. K. Phillips, “Retroperitoneal, Mesenteric, and Omental Cysts,” Archives of Surgery, Vol. 119, No. 7, 1984, pp. 838-842.
[5]	W. C. Cain, S. Kennedy and N. Evans, “Renal Failure as a Result of Mesenteric Cyst,” Journal of Pediatric Surgery, Vol. 39, No. 9, 2004, pp. 1440-1443.
[6]	I. Mihmanli, N. Erdogan and S. Kurugoglu, “Radiological Workup in Mesenteric Cysts: Insight of a Case Report,” Clinical Imaging, Vol. 25, No. 1, 2001, pp. 47-49.
[7]	E. Kwan, H. Lau and W. K. Yuen, “Laparoscopic Resection of a Mesenteric Cyst,” Gastrointest Endosc, Vol. 59, No. 1, 2004, pp. 154-156.
[8]	N. Fujita, Y. Noda and G. Kobayashi, “Chylous Cyst of the Mesentery: US and CT Diagnosis,” Abdom Imaging, Vol. 20, No. 3, 1995, pp. 259-261.
[9]	M. L. Brandt, F. I. Luks and D. Filiatrault, “Surgical Indications in Antenatally Diagnosed Ovarian Cysts,” Journal of Pediatric Surgery, Vol. 26, No. 3, 1991, pp. 276-281.
[10]	S. Duca, M. Cazacu and L. Vlad, “Nonparasitic Abdo- minal Serous Cysts. A Multiple Case Report,” Acta Chir Belg, Vol. 93, No. 1, 1993, pp. 18-24.