2001, Number 2
Mesenteric cyst. Description of one case
Pérez GR, Torres LE, Ruiz OJL
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Language: Spanish
References: 19
Page: 109-112
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ABSTRACT
Antecedents: Mesenteric cysts (MC) are infrequent benign abdominal tumors of undefined etiology. These lesions can occur at any age, their clinical presentation includes acute abdomen, mechanical intestinal obstruction, or abdominal tumor. Three percent of them become malignant even after their resection.Objective: To present the case of a mesenteric cyst confirmed histopathologically.
Setting: Third level health care hospital.
Description of the case: Woman of 58 years of age, without any important antecedent for her present illness. Symptomatology started 2 months before admission to the hospital, characterized by colic-type pain in the right inferior quadrant, irradiating occasionally to the whole stomach, accompanied by sensation of fullness and nausea; sometimes with intermittent diarrhea associated to constipation periods. Abdominal exploration revealed pain in both inferior quadrants, presence of a tumor in the right inferior quadrant, painful and mobile. Laboratory tests (blood chemistry, clotting time, urine) were either normal or negative. Leukocytosis of 15,000/mm3. CAT imagining revealed a cystic mass, probable ovarian cyst. The patient was subjected to surgery, finding the uterus and its annexes without pathology. At the ileum, at 150 cm from the ileocecal valve, a mesenteric-like cystic tumor was found, as well as an inflammatory process at the ileum. Intestinal resection encompassing the cyst was performed as well as an enteroanastomosis. The histopathological study reported: Mesenteric cyst covered with epithelium of cuboid cells and fibrous wall containing smooth muscle and adipose tissue. At present, the patient is without symptoms after 2 years of evolution.
Conclusion: Mesenteric cysts are hard to diagnose tumors that are generally found incidentally with symptomatology of acute abdominal surgical pathology. CAT imaging is one of the best diagnostic tools, however, it can be confused with other intra-abdominal pathologies, as happened in our case. The best treatment choice, according to most reports in the literature, is open surgery including tumor and intestinal resection, which was the technique used in our case.
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