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Mesenteric cysts in pregnancy. A case report.

M J Gast1, A J Jacobs, G Goforth

  • 1Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, Missouri 63110.

The Journal of Reproductive Medicine
|February 1, 1989
PubMed
Summary

Mesenteric cysts are rare abdominal growths that can mimic ovarian tumors during pregnancy. Early ultrasound diagnosis is crucial for accurate identification and management of these masses.

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Area of Science:

  • Gastroenterology
  • Obstetrics & Gynecology
  • Radiology

Background:

  • Mesenteric cysts are uncommon intra-abdominal masses.
  • They can be asymptomatic and challenging to diagnose preoperatively.
  • Differential diagnosis often includes ovarian, renal, or hepatic masses.

Observation:

  • A case of a mesenteric cyst complicating a second pregnancy is presented.
  • The cyst was large and initially asymptomatic.
  • Sonographic features mimicked a benign ovarian tumor.

Findings:

  • Mesenteric cysts require inclusion in the differential diagnosis of abdominal masses during pregnancy.
  • Unique sonographic characteristics aid in differentiating mesenteric cysts.
  • Early and accurate diagnosis is essential for appropriate patient management.

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Implications:

  • Clinicians should consider mesenteric cysts in pregnant patients with cystic abdominal masses.
  • Advanced imaging techniques like ultrasound are vital for prenatal diagnosis.
  • Timely diagnosis prevents misclassification and ensures optimal obstetric care.