[Pathologic fluid collection of mesentery, differential diagnosis of mesenteric cysts - case report]
Abstract:
Mesenteric cyst is a pathologic fluid collection that very rarely occurs anywhere in the mesentery of the gastrointestinal tract from the duodenum to the rectum. The etiology of mesenteric cysts has not yet been completely understood. It ranges from tumorous, infectious, lymphatic and embryological to post-traumatic or post-operative origin. Symptoms of the illness are usually non-specific, caused mainly by intestinal obstruction. Diagnosis is often accidental. Therapy is exclusively surgical. In the following text, the authors present a case report of a 50-year-old patient operated on due to a mesenteric cyst. The patient had undergone bilateral nephrectomy for polycystic kidney disease and was followed up for polycystic liver disease. CT accidentally revealed a mesenteric cyst around 14 cm in size in the right meso-hypogastrium. It was necessary to perform its histological verification before the planned renal transplantation.
Insights
Mesenteric cysts are rare fluid collections in the gastrointestinal tract. This case report details a large mesenteric cyst found incidentally in a patient with polycystic kidney and liver disease, requiring surgical intervention.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Radiology
Background:
- Mesenteric cysts are rare pathologic fluid collections originating from various causes, including lymphatic, embryological, or post-traumatic factors.
- Symptoms are often non-specific, commonly presenting as intestinal obstruction, leading to delayed diagnosis.
- Surgical intervention is the primary treatment modality for mesenteric cysts.
Observation:
- A 50-year-old patient with a history of polycystic kidney disease and polycystic liver disease was evaluated.
- Computed Tomography (CT) incidentally detected a large (14 cm) mesenteric cyst in the right meso-hypogastrium.
- Histological verification was required prior to the patient's planned renal transplantation.
Findings:
- The case highlights an incidentally discovered large mesenteric cyst in a patient with pre-existing polycystic kidney and liver disease.
- The cyst's size and location necessitated surgical evaluation and management.
- Histological analysis was crucial for definitive diagnosis and treatment planning.
Implications:
- This case underscores the importance of recognizing rare gastrointestinal pathologies, even in patients with other significant medical conditions.
- Incidental findings on imaging require thorough investigation and management planning.
- Understanding the varied etiology and presentation of mesenteric cysts is vital for surgical planning and patient outcomes.
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