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Updated: Jul 2, 2026
04:14
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Mesenteric chylous cysts simulating a pelvic disease: a case report.
Piero Covarelli1, Saverio Arena, Marco Badolato
1SC Chirurgia Generale e Oncologica, Dip. Scienze Chirurgiche, Radiologiche, Odontostomatologiche, Università degli Studi di Perugia.
Chirurgia Italiana
|August 12, 2008
Summary
Mesenteric chylous cysts are rare abdominal masses that can mimic other conditions. This case highlights their importance, even when presenting incidentally, emphasizing the need for thorough histopathological examination.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Mesenteric chylous cysts, also termed retroperitoneal chylomatous cysts or mesenteric lymphangiomas, are exceptionally rare abdominal pathologies.
- Their nonspecific clinical presentation and imaging features often lead to misdiagnosis, mimicking other conditions.
Observation:
- A case report details a 62-year-old woman with two incidental abdominal masses initially presumed to be adnexal masses.
- These masses were surgically removed via laparotomy.
Findings:
- Histopathological examination confirmed the masses as mesenteric chylous cysts.
- Mesenteric chylous cysts are generally benign but their rarity necessitates careful consideration.
Implications:
- This case underscores the importance of not underestimating rare pathologies like mesenteric chylous cysts.
- Accurate diagnosis requires a high index of suspicion and definitive histopathological analysis, despite nonspecific initial findings.
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