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[In Process Citation]

Strohm1, Knapp, Muller

  • 1Abteilung fur Allgemein- und Thoraxchirurgie der Chirurgischen Klinik, Stadtisches Klinikum Karlsruhe.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|March 9, 1999
PubMed
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A rare mesenteric cyst caused bilateral ureteral obstruction and hydronephrosis. External percutaneous drainage provided a successful treatment, preventing recurrence after six months.

Area of Science:

  • Urology
  • Surgical Gastroenterology

Background:

  • Mesenteric cysts are uncommon causes of abdominal pathology.
  • Large mesenteric cysts can lead to significant complications, including urinary tract obstruction.

Purpose of the Study:

  • To report a case of bilateral ureteral obstruction secondary to a large mesenteric cyst.
  • To describe an alternative management strategy when complete surgical excision is not feasible.

Main Methods:

  • A patient presented with bilateral ureteral obstruction and hydronephrosis attributed to a large mesenteric cyst.
  • Complete enucleation was not feasible due to cyst size and extent.
  • The cyst was managed with external percutaneous drainage.

Main Results:

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  • The patient experienced resolution of hydronephrosis and obstruction following percutaneous drainage.
  • No recurrence of the mesenteric cyst or associated complications was observed at six-month follow-up.

    • Conclusions:

    • External percutaneous drainage can be an effective treatment for large mesenteric cysts causing ureteral obstruction when complete enucleation is not possible.
    • This minimally invasive approach offers a viable alternative for managing complex mesenteric cyst presentations.