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Laparoscopic Resection of a Jejunal Mesenteric Pseudocyst
Takumi Yamabuki1, Masato Suzuoki1, Tsuzuku Murakami2
1Department of Surgery, Hakodate Red Cross Hospital, Hakodate, Japan.
Case Reports in Gastroenterology
|October 17, 2017
Summary
This case report details a rare jejunal mesenteric pseudocyst successfully treated with laparoscopic resection. This minimally invasive approach offers a viable option for managing such unusual abdominal masses.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Imaging
Background:
- Mesenteric pseudocysts are rare intra-abdominal cystic masses, often presenting with vague symptoms.
- Differential diagnoses for mesenteric pseudocysts include tumors and hematomas, necessitating accurate diagnostic methods.
Observation:
- A 44-year-old woman presented with abdominal pain and diarrhea, exhibiting a 4-cm heterogeneous mass on CT.
- Laparoscopic exploration revealed the mass originating from the jejunal mesentery.
Findings:
- The mass was successfully resected laparoscopically along with a segment of the jejunum and mesentery.
- Pathological examination confirmed the diagnosis of a mesenteric pseudocyst with clayish material content.
Implications:
- Laparoscopic resection is a feasible and effective treatment for jejunal mesenteric pseudocysts.
- This case highlights the importance of considering rare diagnoses in abdominal imaging and surgical planning.

