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- Title
Mesenteric Cyst with GI Symptoms: A Fluid Approach to Treatment—Case Report and Literature Review.
- Authors
Gagliardi, Federica; Lauro, Augusto; Tripodi, Domenico; Amabile, Maria Ida; Palumbo, Piergaspare; Di Matteo, Filippo Maria; Palazzini, Giorgio; Forte, Flavio; Frattaroli, Stefano; Khouzam, Simone; Marino, Ignazio R.; D'Andrea, Vito; Sorrenti, Salvatore; Pironi, Daniele
- Abstract
Mesenteric cysts are defined as a heterogeneous group of intra-abdominal cystic lesions of the mesentery or omentum that may be found in any portion of the gastrointestinal tract from the duodenum to the rectum. The clinical condition is entirely asymptomatic in many patients, particularly with small cysts. The diagnosis is typically incidental and secondary to imaging performed for other purposes. In symptomatic patients, the clinical picture is characterized by nonspecific gastrointestinal signs and symptoms. Treatment may be surgical or via interventional radiology. We report the case of a 55-year-old female patient complaining of left-sided abdominal discomfort and constipation lasting three months. An abdominal ultrasound showed the presence of a 10 × 14 × 16 cm anechoic cystic mass filling the whole anterior and left abdominal cavity, confirmed by CT and MRI. The cyst, removed laparoscopically, was histologically a simple mesothelial cyst. We reviewed the international literature over the last 10 years of all cases with mesenteric cysts > 10 cm in evaluating gastrointestinal symptoms at diagnosis, histology, performed treatment, and outcome.
- Subjects
CYSTS (Pathology); LITERATURE reviews; ABDOMINAL pain; ABDOMEN; ASYMPTOMATIC patients; MESENTERIC ischemia; DUODENAL tumors
- Publication
Digestive Diseases & Sciences, 2022, Vol 67, Issue 3, p786
- ISSN
0163-2116
- Publication type
Article
- DOI
10.1007/s10620-021-07352-0