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Updated: Jul 29, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Adult with concurrent mesenteric cyst and acute appendicitis: a case report
Barbara Y Hernandez Cervantes1, Duniesky Martinez Lopez2, Fernando M Almaguer Acevedo1
1Department of Surgery, School of Medicine, University of Health and Allied Sciences, Ho, Ghana.
Abstract:
Mesenteric cysts are uncommon intra-abdominal lesions that account for only one in every 100 000 adult hospitalizations. Their diagnosis is based on a comprehensive clinical examination as well as radiological modalities such as ultrasonography and computed tomography (CT) scans, and it is usually a clinical challenge because of non-specific symptoms. We present our first case of a 51-year-old man with a simple mesenteric cyst accompanying acute appendicitis diagnosed by CT scan of the abdomen and treated by exploratory laparotomy, complete enucleation of the cyst and appendectomy with a 10 month follow-up without complications or recurrence. This type of presentation has not been thoroughly investigated, with only two children reported during our literature review. Even if there is a high level of suspicion, a CT scan is required for confirmation.
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