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   PDF   HTML     4,223 Downloads   7,678 Views   Citations


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.

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S. Ozkisacik, M. Yazici, N. Culhaci and H. Gursoy, "A Giant Mesenteric Cyst: A Rare Entity in Childhood Surgical Spectrum," Surgical Science, Vol. 1 No. 2, 2010, pp. 53-55. doi: 10.4236/ss.2010.12011.

Conflicts of Interest

The authors declare no conflicts of interest.


[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.

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