A case of a scrotal mesenteric cyst

Yıl 2014, , 214 - 216, 01.03.2014

Mehmet Nuri Bodakçi Namık Kemal Hatipoğlu Mansur Dağgulli Necmettin Penbegul Murat Atar Uğur Fırat

https://doi.org/10.5798/diclemedj.0921.2014.01.0402

Öz

Mesenteric cysts are rarely seen intraabdominal mass lesions which can manifest themselves with different clinical signs, and symptoms. They can locate in the mesenterium from duodenum down to rectum, and also in the retroperitoneal space. Herein we present a very rare case of a scrotal mesenteric cyst which resembled an epididymal cyst in a 6-year-old boy. Ultrasonographic examination revealed a multiloculated cyst completely filling the scrotal sac, and the cyst was excised surgically. Histopathological examination described the surgical specimen as chylolymphatic mesenteric cyst, and during one year follow-up any recurrence was not observed.

Anahtar Kelimeler

mesenteric cyst, scrotal mass, chylolymphatic cyst

Skrotal mezenterik kist olgusu

Öz

Mezenterik kistler oldukça nadir görülen intra abdominal kitleler olup, farklı klinik bulgular ve semptomlar ile ortaya çıkabilmektedirler. Mezenter içinde duodenumdan rektuma kadar ve retroperitonel olarak yerleşebilmektedirler. Bu vakada 6 yaşında erkek çocukta epididim kistini taklit eden, çok nadir görülen skrotum yerleşimli mesenterik kist olgusunu sunuyoruz. Ultrasonografide skrotumu dolduran multiloküle kist tesbit edilen hastada, kist cerrahi olarak eksize edildi. Histopatolojik değerlendirmesi şilolimfatik mesenterik kist olarak tanımlanan hastanın bir yıllık takibinde herhangi bir nüks tesbit edilmedi.

Anahtar Kelimeler

Mezenterik kist, skrotal kitle, şilolimfatik kist

Kaynakça

• Ghazimoghadam B, Rajaie S. Urinary retention due to mes- enteric cyst: An extremely unusual presentation of a rare complication. Indian J Nephrol 2008;18:24-25.
• Kurtz RJ, Heimann TM, Holt J, et al. Mesenteric and retro- peritoneal cysts. Ann Surg 1986;203:109-112.
• Okur H, Kucukaydin M, Ozokutan BH, et al. Mesenteric, omental, and retroperitoneal cysts in children. Eur J Surg 1997;163:673-677.
• de Perrot M, Brundler M, Totsch M, et al. Mesenteric cysts. Toward less confusion? Dig Surg 2000;17:323-328.
• Vanek VW, Phillips AK: Retroperitoneal, mesenteric, and omental cysts. Arch Surg 1984;119:838-842.
• Walker AR, Putnam TC: Omental, mesenteric, and retroperi- toneal cysts: a clinical study of 33 new cases. Ann Surg 1973;178:13-19.
• Rattan KN, Nair VJ, Pathak M, et al. Pediatric chylolymphat- ic mesenteric cyst - a separate entity from cystic lymphan- gioma: a case series. J Med Case Rep 2009;3:111.