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Chylous mesenteric cysts: a rare surgical challenge
Lorenzo Dioscoridi1, Giampaolo Perri2, Giancarlo Freschi1
1Second Unit of General and Emergency Surgery, Careggi Teaching Hospital, Florence, Italy.
Journal of Surgical Case Reports
|May 31, 2014
Summary
Mesenteric cysts, often incidental findings in the gastrointestinal tract, require histological diagnosis. Complete surgical removal is the primary treatment, with planning based on cyst anatomy and relationships with abdominal structures.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Imaging
Background:
- Mesenteric cysts are rare intra-abdominal masses originating from the mesentery.
- They are frequently asymptomatic, leading to incidental discovery during imaging for other conditions.
- Accurate preoperative diagnosis can be challenging, often requiring advanced imaging modalities.
Observation:
- Two distinct clinical cases of mesenteric cysts are presented.
- A 30-year-old male with a mesenteric cyst successfully treated with laparoscopic excision.
- A 61-year-old female with a large retroperitoneal cyst managed with open excision.
Findings:
- Histopathology remains the gold standard for definitive diagnosis of mesenteric cysts.
- Surgical planning is crucial, considering cyst location, size, and proximity to vital abdominal structures.
- Laparoscopic and open excision are viable surgical approaches depending on cyst characteristics.
Implications:
- Early and accurate diagnosis of mesenteric cysts improves patient outcomes.
- Tailored surgical strategies ensure complete cyst removal while minimizing morbidity.
- Understanding the varied presentations and management of mesenteric cysts is essential for clinicians.
