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Year : 2018  |  Volume : 6  |  Issue : 3  |  Page : 75-84

Mesenteric cysts revisited: An ever-intriguing issue

1 Department of Surgery, Armed Forces Hospital, Southern Region, Saudi Arabia
2 Department of Pathology, Armed Forces Hospital, Southern Region, Saudi Arabia
3 Department of Radiology, Armed Forces Hospital, Southern Region, Saudi Arabia; Department of Radiology, Faculty of Medicine, Cairo University, Cairo, Egypt

Correspondence Address:
Dr. M Ezzedien Rabie
Department of Surgery, Armed Forces Hospital Southern Region, Khamis Mushait
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ssj.ssj_78_17

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Background: Mesenteric cysts continue to intrigue the surgeons and radiologist alike. Patients and Methods: Our records were reviewed to identify mesenteric cysts, diagnosed in the period from February 2014 to September 2016. Results: We identified one male and four females, with a median age of 44 years. Abdominal pain was the presenting feature in all patients. ultrasound was done in four cases, where the cyst was missed in one case, and no clue to its nature was given in the remaining three, while computed tomography suspected the diagnosis in four patients and failed in one. Laparoscopic excision was attempted in only one patient, but eventually, all patients underwent open surgical excision. In four patients, the cyst was removed intact, while in the fifth, a minor wall break occurred, resulting in limited spillage of cyst contents. Histopathological examination showed simple mesothelial cyst in three cases, a pseudocyst in the fourth case and a cystic lymphangioma in the fifth. All patients tolerated surgery well, and up to the time of writing this paper, no recurrence was reported. Conclusion: Mesenteric cysts, with its numerous types, continue to intrigue the concerned physicians. Regardless of the approach, excision of the intact cyst should be the aim, most conveniently by open surgery. Although laparoscopy could be employed, this should be entertained with caution, to avoid cyst rupture or leaving part of the wall behind, thus predisposing to recurrence.

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