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Mesenteric cyst--an unusual presentation

S K Mohanty1, R K Bal, K K Maudar

  • 1Department of General Surgery, Armed Forces Medical College, Pune, India.

Journal of Pediatric Surgery
|June 2, 1998
PubMed
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Mesenteric cysts, rare growths from lymphatic tissue, typically cause few symptoms. This case highlights an extremely rare presentation of a mesenteric cyst mimicking an inguinal hernia, emphasizing surgical excision as the treatment.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Pediatric Surgery

Background:

  • Mesenteric and retroperitoneal cysts originate from ectopic lymphatic tissues.
  • These cysts often remain asymptomatic or are incidental findings during surgery.
  • While some patients experience abdominal pain, specific presentations are uncommon.

Observation:

  • This report details an exceptionally rare case of a mesenteric cyst presenting as an inguinal hernia.
  • This presentation is only the fifth documented instance in English literature and the second from the Indian subcontinent.

Findings:

  • Mesenteric cysts are rare intra-abdominal masses originating from aberrant lymphatic tissue.
  • The clinical presentation of mesenteric cysts can vary, but inguinal hernia is an extremely rare manifestation.

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Implications:

  • This case underscores the importance of considering rare differential diagnoses in clinical practice.
  • Complete surgical excision remains the definitive treatment for mesenteric cysts.
  • Further research into the developmental origins and varied presentations of these cysts is warranted.