Mesenteric cyst: case report and review of the literature

Mesenteric and retroperitoneal cysts are rare intra-abdominal tumours with an incidence of 1/140.000 in surgery departments and 1/20.000 in paediatric departments. There are no pathognomonic signs or symptoms for the cysts. In the differential diagnosis lymphangiomas, sarcomas, adenocarcinomas and i...

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Bibliographic Details
Published in:Il Giornale di chirurgia 2010-05, Vol.31 (5), p.239-242
Main Authors: Casarotto, A, Cerofolini, A, Denitto, F, Invernizzi, L, Chiappetta, A, Di Prima, F, Landoni, L, Rebonato, M
Format: Article
Language:Italian
Subjects:
Adolescent
Appendectomy
Appendicitis - diagnosis
Appendicitis - surgery
Diagnosis, Differential
Humans
Intraoperative Care
Male
Mesenteric Cyst - diagnosis
Mesenteric Cyst - surgery
Reoperation
Treatment Outcome
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Summary:Mesenteric and retroperitoneal cysts are rare intra-abdominal tumours with an incidence of 1/140.000 in surgery departments and 1/20.000 in paediatric departments. There are no pathognomonic signs or symptoms for the cysts. In the differential diagnosis lymphangiomas, sarcomas, adenocarcinomas and intestinal duplications should be considered. Diagnostic includes abdominal computed tomography, ultrasound and MRI. Barium enema examination or intravenous pyelogram may be used in special cases. Surgical treatment is indicated also in asymptomatic patients; laparoscopic approach is the "gold standard". Laparotomic approach should be used in the cases of impossibility of total enucleation or in the cases of malignant degeneration. Complete enucleation is the treatment of choice for retroperitoneal and mesenteric cysts. If this cannot be accomplished, the alternative should be the excision of the cyst or the marsupialization. In this paper we present a case of young man with a mesenteric cyst mimicking acute appendicitis.
ISSN:0391-9005