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Quiste Mesentérico Quilouso: Una Rara Entidad Quirúrgica - Un Informe de Caso de Nepal
Ashwini Gurung1, Alisha Rai2, Arbin Joshi1
1Department of General Surgery and Urology B and B Hospital Lalitpur Nepal.
Clinical case reports
|February 2, 2026
Resumen
Los quistes mesentéricos quilousos son crecimientos abdominales raros. Este informe de caso detalla la escisión laparoscópica exitosa de un quiste grande en un hombre de 54 años, destacando la cirugía mínimamente invasiva para resultados favorables.
Área de la Ciencia:
- Gastroenterología
- Oncología Quirúrgica
- Imagenología Abdominal
Sus antecedentes:
- Los quistes mesentéricos quilousos son neoplasias abdominales benignas poco comunes.
- Pueden ocurrir en cualquier parte del mesenterio, a menudo asintomáticos, pero pueden presentarse como molestias abdominales o una masa palpable.
- El diagnóstico generalmente requiere histopatología después de la escisión quirúrgica.
Objetivo del estudio:
- Informar un caso de quiste mesentérico quilouso.
- Ilustrar el manejo exitoso utilizando cirugía mínimamente invasiva.
- Enfatizar la importancia de la planificación preoperatoria para afecciones abdominales raras.
Principales métodos:
- Un hombre de 54 años se presentó con malestar en el cuadrante inferior derecho del abdomen y un bulto.
- La tomografía computarizada (TC) reveló una gran lesión quística que desplazaba el uréter derecho.
- Se realizó un stent ureteral preoperatorio seguido de la escisión laparoscópica del quiste.
Principales resultados:
- El quiste contenía 700 ml de líquido quilouso y se extirpó por completo.
- El examen histopatológico confirmó un quiste mesentérico quilouso.
- El paciente se recuperó bien y fue dado de alta al segundo día posoperatorio.
Conclusiones:
- Los quistes mesentéricos quilousos requieren una cuidadosa planificación preoperatoria para un manejo exitoso.
- La cirugía laparoscópica mínimamente invasiva es un enfoque eficaz para tratar estos quistes raros.
- Este caso destaca un resultado favorable logrado a través de una planificación y ejecución quirúrgica meticulosas.
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