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Updated: May 7, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Perforated Rotated Mesenteric Cyst Presenting as Acute Abdominal Pain in a Female Pediatric Patient: A Case Report
Valerie Josephine Dirjayanto1, Astrid Indrafebrina Sugianto2, Riana Pauline Tamba2
1Faculty of Medicine, University of Indonesia, Jakarta, Indonesia; Newcastle University, Newcastle upon Tyne, United Kingdom.
Insights
Mesenteric cysts, though rare, can mimic gynecologic issues in children. Early diagnosis and surgical intervention are crucial for managing complications like bowel perforation.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Abdominal Imaging
Background:
- Mesenteric cysts are uncommon abdominal masses.
- They can present with symptoms similar to gynecologic conditions.
- Diagnosis can be challenging due to varied presentations.
Introduction:
Although more than half of cases are asymptomatic or mild in symptoms, mesenteric cysts can present clinically and radiologically similar to gynecologic diseases.
Case:
A female child presented with worsening episodes of abdominal pain 1 day before admission. Abdominal x-ray suggested mechanical obstruction of the small bowel, and CT scan suggested ileal abnormality.
Discussion:
During open surgery, we found 2 rotated chylous mesenteric cysts, accompanied by adhesions and jejunal perforation 57 cm from the ligament of Treitz. Cyst excision, adhesiolysis, ileo-ileal resection, and anastomosis were performed.
Conclusion:
Although rare and challenging to identify, mesenteric cysts should be kept in the differential diagnosis of female children presenting with abdominal pain.
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