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Mesenteric cyst: report of a case-resulting in pseudomyxoma peritonei

Luis Zappa1, Paul H Sugarbaker

  • 1Washington Cancer Institute, 106 Irving St, NW, Suite 3900, Washington, DC 20010, USA.

Tumori
|June 25, 2010
PubMed
Abstract

Insights

A ruptured mesenteric cyst, a rare cause of pseudomyxoma peritonei, was successfully treated with cytoreductive surgery and intraperitoneal chemotherapy. This approach offers a promising treatment for similar neoplastic mesenteric cyst cases.

Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Mesenteric cysts, with diverse origins (embryonic, traumatic, neoplastic, infectious), can rarely harbor neoplastic epithelium.
  • Mesenteric cysts have not been previously documented as a cause of pseudomyxoma peritonei.

Observation:

  • A case report details a patient who developed widespread mucinous intraperitoneal tumor following a ruptured mesenteric cyst.
  • The patient underwent cytoreductive surgery and perioperative intraperitoneal chemotherapy for the condition.
  • Recovery was uneventful, with the patient remaining well two years post-treatment.

Findings:

  • Mesenteric cyst is identified as a rare etiology for pseudomyxoma peritonei.
  • The study suggests that treatment for ruptured neoplastic mesenteric cysts can be extrapolated from protocols for appendiceal pseudomyxoma peritonei.
  • Successful management involved cytoreductive surgery and perioperative intraperitoneal chemotherapy.

Implications:

  • This case highlights the importance of considering mesenteric cysts in the differential diagnosis of pseudomyxoma peritonei.
  • The findings support the efficacy of cytoreductive surgery and intraperitoneal chemotherapy for managing pseudomyxoma peritonei originating from mesenteric cysts.
  • Further research into the neoplastic potential of mesenteric cysts and their management is warranted.

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