Urinary retention due to mesenteric cyst: An extremely unusual presentation of a rare complication

Area of Science:

• Gastroenterology
• Urology
• Surgical Pathology

Background:

• Mesenteric cysts are uncommon intra-abdominal masses with diverse clinical presentations.
• Sudden onset urinary retention as a primary symptom of a mesenteric cyst is exceptionally rare, with no prior English literature reports.

Observation:

• A 19-year-old male presented with abdominal distention and acute urinary retention.
• Imaging revealed a large cystic mass superior to the bladder, distinct from renal and bladder structures.

Findings:

• Surgical excision of the mesenteric cyst was successfully performed.
• Post-operative recovery showed complete resolution of urinary difficulties.
• Histopathological analysis confirmed the diagnosis of a mesenteric cyst.

Implications:

• This case expands the known clinical spectrum of mesenteric cysts.
• It underscores the importance of considering unusual etiologies for acute urinary retention.
• Highlights the effectiveness of surgical intervention for symptomatic mesenteric cysts.