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[Mesenteric cyst]
A Alves Júnior1, L Maximiano, P W Pires
1Disciplina de Cirurgia Geral, Faculdade de Medicina da Universidade de São Paulo.
Abstract:
Mesenteric cysts are rare abdominal tumors. Their incidence varies in different papers from one in 27,000 to one in 250,000 hospital admissions. Five patients with mesenteric cysts were treated at Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo between November 1982 and October 1992. The most common location was in the small bowel (60%). All of them were treated by surgery. One case was found incidentally. Treatment of choice is enucleation. It was realized in two cases (40%). The others had segmental bowel resection.
Insights
Mesenteric cysts are rare abdominal tumors. Surgical treatment, including enucleation or segmental bowel resection, is effective for these rare tumors, with the small bowel being the most common location.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Mesenteric cysts are uncommon intra-abdominal neoplasms with a reported incidence ranging from 1 in 27,000 to 1 in 250,000 hospital admissions.
- These cysts can present as incidental findings or manifest with symptoms related to mass effect or complications.
Observation:
- A retrospective review identified five patients treated for mesenteric cysts between 1982 and 1992.
- The majority of cysts (60%) were located in the small bowel mesentery.
Findings:
- All five patients underwent surgical intervention for their mesenteric cysts.
- Enucleation was the preferred surgical approach in 40% of cases, while the remaining patients required segmental bowel resection.
Implications:
- Surgical management remains the cornerstone for mesenteric cysts, with enucleation being ideal when feasible.
- Understanding common locations and surgical outcomes aids in patient management and surgical planning for these rare tumors.