A rare cause of intraabdominal tumors: An analysis of 21 patients with mesenteric cyst

Year 2011, , 380 - 383, 01.12.2011

Akın Önder Murat Kapan Zülfü Arıkanoğlu İbrahim Aliosmanoğlu Mehmet Hanifi Okur Hakan Önder İlhan Taş

https://doi.org/10.5799/ahinjs.01.2011.04.0076

Abstract

Objectives: Mesenteric cysts are rare intraabdominal tumors. In this study, we aimed to investigate the clinical findings, pathological features and surgical approaches of mesenteric cysts. Materials and methods: Between January 1985 - December 2010 at Dicle University Medical Faculty General Surgery and Pediatric Surgery Department, 21 patients with mesenteric cyst were retrospectively analyzed. Results: Sixteen patients (76.2%) were women and 5 (23.8%) were men, with a mean age of 32.62 ± 22:19 (4-79) years. The most common symptoms were abdominal mass and pain. Mesenteric cysts were often located on the small bowel mesentery (61.9%). Cyst sizes ranged from 4-25 cm in diameters. The most common performed surgical procedures in patients were enucleation (90.5%). The histopathological diagnosis was confirmed as cystic lymphangioma in 17 (80.9%) patients. The mean length of hospitals stay was 5.29 ± 2.28 (2-11) days. Postoperative morbidity rate was 33.3% and the most common complication was wound infection. There was no postoperative mortality. Conclusion: When physical examination revealed a palpable mass with regular margins and intraabdominal cystic mass is detected with imaging techniques, mesenteric cyst should be considered in differential diagnosis in patients presenting with abdominal pain. J Clin Exp Invest 2011; 2 (4): 380-383

Keywords

Mesenteric cyst, abdominal pain, palpabl mass, surgery

A rare cause of intraabdominal tumors: An analysis of 21 patients with mesenteric cyst

Abstract

Amaç: Mezenterik kistler nadir görülen intraabdominal tümörlerdir. Bu çalışmada mezenterik kistlere ait klinik bulguların, patolojik özelliklerin ve uygulanan cerrahi yaklaşımların irdelenmesi amaçlanmıştır. Gereç ve Yöntem: Ocak 1985 - Aralık 2010 tarihleri arasında Dicle Üniversitesi Tıp Fakültesi Genel Cerrahi ve Çocuk Cerrahisi Kliniklerinde cerrahi uygulanan mezenterik kistli 21 hasta retrospektif olarak incelendi. Bulgular: Hastalarımızın 16\'sı (%76.2) kadın, 5\'i erkek (%23.8) olup, ortalama yaşları 32.62±22.19 (4-79) yıldı. En sık başvuru şikayeti abdominal kitle ve ağrı idi. Mezenterik kistler sıklıkla ince barsak mezenteri yerleşimliydi (%61.9). Kistin boyutları 4-25 cm arasında değişmekteydi. Hastalara uygulanan en sık cerrahi girişim enüklasyondu (%90.5). On yedi (80.9) hastada histopatoljik tanı kistik lenfanjiom ile uyumluydu. Ortalama hastanede yatış süresi 5.29±2.28(2-11) gün idi. Postoperatif morbidite oranı %33.3 olup, en sık görülen komplikasyon yara enfeksiyonuydu. Postoperatif dönemde mortalite gözlenmedi. Sonuç: Fizik muayenede düzgün sınırlı kitle palpe edilen ve görüntüleme yöntemleriyle intraabdominal kistik kitle saptanan karın ağrısı ile başvuran hastalarda ayırıcı tanıda mezenterik kist göz önünde bulundurulmalıdır. Anahtar kelimeler; Mezenterik kist, karın ağrısı, palpabl kitle, cerrahi giriş

Keywords

Mezenterik kist, karın ağrısı, palpabl kitle, cerrahi giriş

References

• Kurtz RJ, Heimann TM, Beck AR, Holt J. Mesenteric and retroperitoneal cysts. Ann Surg 1986;203(1):109- 12.
• Ekçi B, Ayan F, Gürses B. Ruptured mesenteric cyst: a rare presentation after trauma. Turkish Journal of Trauma & Emergency Surgery 2007;13(1):74-7.
• O’Brien MF, Winter DC, Lee G, Fitzgerald EJ, O’Sullivan GC Mesenteric cysts-a series of six cases with a re- view of the literature. Ir J Med Sci 1999;168(4):233-6.
• Alwan MH, Eid AS, Alsharif IM Retroperitoneal and mes- enteric cysts. Singapore Med J 1999;40(3):160-4.
• Dequanter D, Lefebvre JC, Belva P, Takieddine M, Vaneukem P. Mesenteric cysts. A case treated by lap- aroscopy and a review of the literature. Surg Endosc 2002;16(10):1493-6.
• Morrison CP, Wemyss-Holden SA, Maddern GJ. A nov- el technique for the laparoscopic resection of mesen- teric cysts. Surg Endosc 2002;16(1):219-11.
• Sardi A, Parikh KJ, Singer JA, Minken SL. Mesenteric cysts. Am Surg 1987; 53(1): 58-60.
• VW Vanek, AK Philips. Retroperitoneal, mesenteric and omental cysts. Arch Surg 1984; 119(7): 838-42.
• Burkett JS, Pickleman J The rationale for surgical treat- ment of mesenteric and retroperitoneal cysts. Am Surg 1994;60(6):432-435.
• Tan JJ-Y, Tan K-K, Chew S-P. Mesenteric cysts: An institution experience over 14 years and review of lit- erature World J Surg 2009 33(9):1961-5.
• Büyükbayram H, Aldemir M, Yılmaz G, Kılınç N, Ars- lan A. Mezenterik kistler. Çağdaş Cerrahi Dergisi 2001;15(3): 172-5.
• Luchtman M, Soimu U, Amar M. Peritonitis caused by a ruptured infected mesenteric cyst. J Clin Gastroen- terol 2001;32(5):452-3.
• Özdoğan M. Acute abdomen caused by a ruptured spontaneously infected mesenteric cyst Turk J Gas- troenterol 2004; 15 (2): 120-1.
• Takeuchi K, Takaya Y, Maeda K, Maruo T. Peritonitis caused by a ruptured, infected mesenteric cyst initially interpreted as an ovarian cyst. A case report. J Re- prod Med 2004;49(1):65-7.
• Polat C, Tokyol C, Dilek ON. Strangulated umbilical hernia including a mesenteric cyst: a rare cause of acute abdomen. Acta Chir Belg 2003;103(3): 329-31.
• Liew SCC, Gleen DC, Storey DW. Mesenteric cyst. Aust N Z J Surg 1994, 64(11): 741-4.
• Bury TF, Pricalo VE. Malignant transformation of benign mesenteric cyst. Am J Gastroenterol 1994; 89(11): 2085-7.
• de Perrot M, Brundler M, Totsch M, Mentha G, Morel P. Mesenteric cysts. Toward less confusion? Dig Surg 2000:17(4):323-8.
• Shamiyeh A, Rieger R, Schrenk P, Wayand W. Role of laparoscopic surgery in treatment of mesenteric cysts. Surg Endosc 1999;13(9):937-9.