Case Report


Large mesenteric cyst

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1 MD, Resident of General Surgery in the General Surgery Department of Hospital de Santa Lúzia, Viana do, Portugal

2 MD, Director of the department of Hepatobiliary Surgery in the Hospital de Santa Lúzia, Viana do Castel, Portugal

3 MD, Director of the General Surgery Service in the Hospital de Santa Lúzia, Viana do Castelo, Portugal

Address correspondence to:

Manuel Alexandre Viana Ferreira

Rua António De Mariz, nº22, 4715-279 Braga,

Portugal

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Article ID: 100974Z01MF2018

doi: 10.5348/100974Z01MF2018CR

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How to cite this article

Ferreira MAV, Monteiro C, Monteiro C, Midões A. Large mesenteric cyst. Int J Case Rep Images 2018;9:100974Z01MF2018.

ABSTRACT


Introduction: Mesenteric cysts are rare benign lesions. They usually remain asymptomatic and in most cases are incidentally discovered. However, they can reach large dimensions conditioning pain, abdominal distension or sensation of an abdominal mass. The definitive diagnosis is often made during surgery that should involve total removal of the lesion. Knowledge of these lesions is important because of the existence of complications associated with ineffective surgery. This paper reports the surgical treatment of a large mesenteric cyst.

Case Report: We report a 20-year-old male with an history of abdominal distension without pain, nausea or vomits. The image examinations revealed a large cystic mass involving the entire abdominopelvic cavity. The patient underwent an exploratory laparotomy and the cyst was excised. The histological examination revealed a serous cyst 33cm in diameter, without evidence of malignancy.

Conclusion: Mesenteric cysts are uncommon lesions that can present asymptomatically or with nonspecific symptoms. Complete resection of the cyst could be challenge but is still the best therapy.

Keywords: Digestive system disease, Mesenteric cyst, Peritoneal neoplasms

SUPPORTING INFORMATION


Author Contributions

Manuel Alexandre Viana Ferreira - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Cristina Monteiro - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Conceição Monteiro - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Alberto Midões - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this case report.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2018 Manuel Alexandre Viana Ferreira et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.