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Mesenteric Cyst with GI Symptoms: A Fluid Approach to Treatment—Case Report and Literature Review

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Abstract

Mesenteric cysts are defined as a heterogeneous group of intra-abdominal cystic lesions of the mesentery or omentum that may be found in any portion of the gastrointestinal tract from the duodenum to the rectum. The clinical condition is entirely asymptomatic in many patients, particularly with small cysts. The diagnosis is typically incidental and secondary to imaging performed for other purposes. In symptomatic patients, the clinical picture is characterized by nonspecific gastrointestinal signs and symptoms. Treatment may be surgical or via interventional radiology. We report the case of a 55-year-old female patient complaining of left-sided abdominal discomfort and constipation lasting three months. An abdominal ultrasound showed the presence of a 10 × 14 × 16 cm anechoic cystic mass filling the whole anterior and left abdominal cavity, confirmed by CT and MRI. The cyst, removed laparoscopically, was histologically a simple mesothelial cyst. We reviewed the international literature over the last 10 years of all cases with mesenteric cysts > 10 cm in evaluating gastrointestinal symptoms at diagnosis, histology, performed treatment, and outcome.

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Abbreviations

CK:

Cytokeratin

GI:

Gastrointestinal

MRI:

Magnetic resonance imaging

CT:

Computed tomography

WT1:

Wilms tumor 1

References

  1. Ogwal A, Ariaka H, Medeyi V et al. Management of a huge symptomatic hemorrhagic mesenteric cyst. Clin Case Rep. 2020;8:2986–2989.

    Article  PubMed  PubMed Central  Google Scholar 

  2. De Perrot M, Bründler M, Tötsch M, et al. Mesenteric cysts. Toward less confusion? Dig Surg. 2000;17:323–328.

  3. Sayeed M, Benzamin M, Akter S et al. Omental cyst—rare cause of abdominal pain in a 7-year-old child: A case report. GE Port J Gastroenterol. 2021;28:202–206.

    Article  PubMed  Google Scholar 

  4. Mertens J, Driessen A, Komen N. An accidental finding of a giant intra-abdominal mass. Acta Chir Belg 2021;27:1–10.

    Google Scholar 

  5. Aliukonis V, Lasinskas M, Pilvelis A, et al. Pathological discrepancy: simple mesenteric cyst vs mesenteric lymphangioma. Case Rep Surg. 2021;8848462.

  6. Negahi A, Jahanshahi F, Boozari B et al. The occurrence of giant mesenteric cyst and adrenal ganglioneuroma in a schizophrenic male patient presenting as pseudocyst: a case report. Clin Case Rep. 2020;9:193–197.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Ayas MF, Affas S, Hoilat GJ et al. A case of a mesenteric cyst mimicking a biloma. Gastroenterol Res. 2020;13:279–282.

    Article  Google Scholar 

  8. Yhoshu E, Piplani R, Chaudhary V et al. Large falciform ligament cyst in a child: a rare entity of peritoneal cysts and review of the literature. Afr J Paediatr Surg. 2020;17:111–114.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Bono D, Tomaselli F, Caponi R et al. Laparoscopic excision of a voluminous mesenteric cyst: case report of a rare entity and review of literature. Int J Surg Case Rep. 2020;77:S64–S66.

    Article  PubMed Central  Google Scholar 

  10. Kitamura H, Yamamoto D, Kadoya S et al. Jejunal mesenteric lymphangioma treated by pancreaticoduodenectomy: a case report. Int J Surg Case Rep. 2020;77:165–169.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Carvalho N, Lopes Filho JA, Cabral Marinho Plens I, et al. Mesenteric cyst presenting with acute abdomen pain and bowel obstruction: case report and brief literature review. Ann Med Surg (Lond) 2012;58:134–137.

  12. Gasparella P, Singer G, Castellani C, et al. Giant lymphatic malformation causing abdominal compartment syndrome in a neonate: a rare surgical emergency. J Surg Case Rep. 2020:rjaa252.

  13. Kusuma F, Poerwadi P. Chylous mesenteric cyst in children—a case report in a 4-year-old boy. Med J Malays. 2020;75:48–50.

    CAS  Google Scholar 

  14. Del Pilar P-OR, Montoya-Sanche LC, Abella-Morales DM et al. Male infant patient with a mesenteric cyst in the greater and lesser omenta: a case report. Int J Emerg Med. 2020;13:24.

    Article  Google Scholar 

  15. Rezaee-Azandaryani A, Ghorbanpour M, Taghipour M, et al. A case report of a huge mesenteric cyst in a 5-year-old girl: a rare and challenging finding in radiological assessment. Adv J Emerg Med. 2019;4:e31

  16. Rodrigues CF, Ferreira G, Oliveira E, et al. Complexities of diagnosing and treating a mesenteric cyst in a chronic myeloid leukaemia patient. Eur J Case Rep Int Med. 2020;7:001457.

  17. Isaia M, Erodotou M, Nakos G, et al. Complete surgical enucleation of a giant chylous mesenteric cyst. Case Rep Surg. 2020;4279345.

  18. Canadas S, Fernandes R, Almeida H, et al. A mesothelial inclusion cyst presenting in a 40-year-old woman as abdominal pain and bloating—a rare diagnosis. Eur J Case Rep Int Med. 2020;7:001415.

  19. Shabana A, Dholoo F, Nunn R et al. Case-report: a rare cause of an intra-abdominal mass. Int J Surg Case Rep 2020;67:278–281.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Thiam O, Faye PM, Niasse A et al. Cystic mesenteric lymphangioma: a case report. Int J Surg Case Rep 2019;61:318–321.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Tamene A, Desta M, Tebeje H et al. Giant mesenteric cyst and right sided syndrome in a 15-year-old boy. Eur J Ped Surg Rep 2019;7:5–7.

    Article  Google Scholar 

  22. Bang GA, Tolefac P, Fola O et al. Giant sixteen kilogram lymphangioma mesenteric cyst: an unusual presentation of a rare benign tumour. Int J Surg Case Rep 2019;59:94–96.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Aguirre SV, Mercedes Almagro M, et al. Giant mesenteric cyst from the small bowel mesentery in a young adult patient. J Surg Case Rep. 2019;rjz002.

  24. Nakashima S, Yamada T, Sato G et al. A case of completely isolated advanced enteric duplication cyst cancer performed partial pancreatectomy. Int J Surg Case Rep. 2019;54:83–86.

    Article  PubMed  Google Scholar 

  25. Spolianski G, Kopelman D, Kimmel B et al. Laparoscopic exploration and treatment for a mesenteric cyst lymphangioma in adults. ANZ J Surg. 2019;89:1334–1336.

    Article  PubMed  Google Scholar 

  26. Kogo H, Matsumoto S, Uchida E. Single-port laparoscopic-assisted resection for a large abdominal cystic lymphangioma: a case report. Surg Case Rep. 2018;4:92.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Mullaney TG, D’Souza B. Mesenteric cyst: an uncommon cause of acute abdomen. ANZ J Surg. 2018;89:E98–E99.

    Article  Google Scholar 

  28. De la Plaza LR, Ramia Ángel JM, García Amador C et al. Chylous mesenteric cyst. J Gastroint Surg. 2018;22:921–922.

    Article  Google Scholar 

  29. Pola Bandrés G, Millán Gallizo G, Martínez Soriano B et al. Giant mesenteric cyst as a cause of intestinal obstruction. Cir Esp 2018;96:51.

    Article  PubMed  Google Scholar 

  30. Leung BC, Sankey R, Fronza M et al. Conservative approach to the acute management of a large mesenteric cyst. World J Clin Cases 2017;5:360–363.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Lesmana C, Gani RA, Hasan I et al. Therapeutic interventional endoscopic ultrasound based on rare cases in Indonesia: a single-center experience in unselected patients. Case Rep Gastroenterol 2017;1:72–77.

    Article  Google Scholar 

  32. Neeralagi CS, Surag KR, Kumar Y, et al. Mesenteric teratoma in elderly female: a rare case report. J Clin Diag Res. 2017;11:PD01–PD02.

  33. Vallejo-Soto M, Orozco-Simental S. A giant mesenteric cyst mimicking untreatable ascites. Rev Gastroenterol Mex 2017;82:348–351.

    CAS  PubMed  Google Scholar 

  34. Ünlüer EE, Ünlüer S, Şahı NY et al. An uncommon cause of abdominal pain: mesenteric cyst. Interv Med Appl Sci 2016;8:23–25.

    PubMed  Google Scholar 

  35. Yagmur Y, Akbulut S, Gumus S, et al. Case report of four different primary mesenteric neoplasms and review of literature. Iran Red Crescent Med J. 2016;18:e28920.

  36. Karhan AN, Soyer T, Gunes A, et al. Giant omental cyst (Lymphangioma) mimicking ascites and tuberculosis. Iran J Radiol. 2016;13:e31943.

  37. Rahul SK, Upadhyaya VD, Kumar B. Malrotation and midgut volvulus associated with asymptomatic duplication cyst of jejunum. J Case Rep 2016;7:33.

    Google Scholar 

  38. Makhija D, Shah H, Tiwari C et al. Mesenteric cyst(s) presenting as acute intestinal obstruction in children: three cases and literature review. Inter J Ped Adol Med. 2016;3:109–111.

    Google Scholar 

  39. Kweyamba V, Apiyo M, Olika B et al. A case of a 4-year-old boy with a mesenteric chylous cyst infected with Histoplasma capsulatum. Case Rep Surg. 2016;2016:4296059.

    PubMed  PubMed Central  Google Scholar 

  40. Rosado C, Machado DS, De Magalhães Esteves J, et al. A case of mesenteric pseudocyst causing massive abdominal swelling. Eur J Case Rep Int Med. 2016;3:000364.

  41. Kumar A, Jakhmola CK, Arora NC et al. Mesenteric cyst in sigmoid mesocolon—a rare location and its laparoscopic excision. Med J Arm F India 2016;71:S425–S428.

    Article  Google Scholar 

  42. Serrano-Rodríguez P, Desai CS. Gastrocolic omental cyst in an adult: case presentation and review of literature. Cir Cir 2016;84:509–512.

    PubMed  Google Scholar 

  43. Ahmed A, Jabbour G, Zitoun A et al. Anemia as one of presenting symptoms in an adult with cyst and torsion of the omentum—a case report. Chirurgia (Bucur) 2015;110:474–477.

    CAS  Google Scholar 

  44. Bolívar-Rodríguez MA, Cazarez-Aguilar MA, Luna-Madrid EE et al. Infected jejunal mesenteric pseudocyst: a case report. Cir Cir 2015;83:334–338.

    PubMed  Google Scholar 

  45. Ghritlaharey RK, More S. Chylolymphatic cyst of mesentery of terminal ileum: a case report in 8 year-old boy. J Clin Diagn Res. 2014;8:ND05–ND7.

  46. Park SE, Jeon TJ, Park JY. Mesenteric pseudocyst of the transverse colon: unusual presentation of more common pathology. BMJ Case Rep. 2014;bcr2013202682.

  47. Pozzi G, Ferrarese A, Borello A. Percutaneous drainage and sclerosis of mesenteric cysts: literature overview and report of an innovative approach. Int J Surg. 2014;12:S90–S93.

    Article  PubMed  Google Scholar 

  48. Micković S, Bezmarević M, Nikolić-Micković I et al. Traumatic mesenteric pseudocyst. Vojnosanit Pregl 2014;71:685–688.

    Article  PubMed  Google Scholar 

  49. Al Booq Y, Hussain SS, Elmy M. Giant chylolymphatic mesenteric cyst and its successful enucleation: a case report. Int J Surg Case Rep 2014;5:469–470.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Pithawa AK, Bansal AS, Kochar SP. Mesenteric cyst: a rare intra-abdominal tumour. Med J Arm F India 2014;70:79–82.

    Article  CAS  Google Scholar 

  51. Dioscoridi L, Perri G, Freschi G. Chylous mesenteric cysts: a rare surgical challenge. J Surg Case Rep. 2014;rju012.

  52. Li BL, Huang X, Zheng CJ et al. Ileal duplication mimicking intestinal intussusception: a congenital condition rarely reported in adult. World J Gastroenterol 2013;19:6500–6504.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Yoldemir T, Erenus M. Fatty necrosis of a mesenteric cyst in a woman initially diagnosed with a large ovarian cystic mass. J Obst Gyn 2013;33:534–535.

    CAS  Google Scholar 

  54. Lee DL, Madhuvrata P, Reed MW et al. Chylous mesenteric cyst: a diagnostic dilemma. Asian J Surg 2016;39:182–186.

    Article  PubMed  Google Scholar 

  55. Blanco A, Sonntag C, Giese A. Right lower quadrant abdominal pain—the usual suspects? Diagnosis and therapy of a symptomatic mesenteric cyst. Dtsch Med Wochenschr. 2013;138:995–998.

    CAS  PubMed  Google Scholar 

  56. Reddy GR, Gunadal S, Banda VR, et al. Infected mesenteric cyst. BMJ Case Rep. 2013;bcr2012008195.

  57. Kyriakos N, Andreas C, Sammouti E, et al. Infected completely isolated enteric duplication cyst management with percutaneous drainage and surgical excision after retreat of infection: a case report. Case Rep Surg. 2013;108126.

  58. Mitura K, Mikolaj R, Alicja M. An atypical site of a retroperitoneal epidermoid cyst in a middle-aged woman. Int J Surg Case Rep. 2013;4:85–87.

    Article  PubMed  Google Scholar 

  59. Obaidah A, Mane SB, Dhende N. Mesenteric cyst—an unusual presentation as inguinal hernia. Indian J Surg. 2012;74:184–185.

    Article  PubMed  Google Scholar 

  60. Carr WR, Bain I. An unusual cause of gross abdominal distension in a 59-year-old man: huge mesenteric cyst. BMJ Case Rep. 2012;bcr0220125812.

  61. Al-Harfoushi R, Stevenson L, Binnie N. Mesenteric cyst: drained and marsupialised laparoscopically avoiding enterectomy. BMJ Case Rep. 2012;bcr0120125540.

  62. Ma A, Ayre K, Wijeyekoon S. Giant mesenteric cyst: a rare cause of abdominal distension diagnosed with CT and managed with ultrasound-guided drainage. BMJ Case Rep. 2012;bcr0220125916.

  63. Rami M, Mahmoudi A, El Madi A et al. Giant cystic lymphangioma of the mesentery: varied clinical presentation of 3 cases. Pan Afr Med J. 2012;12:7.

    PubMed  PubMed Central  Google Scholar 

  64. Kambakamba P, Lesurtel M, Breitenstein S et al. Giant mesenteric cystic lymphangioma of mesocolic origin in an asymptomatic adult patient. J Surg Case Rep. 2012;2012:4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  65. Falidas E, Mathioulakis S, Vlachos K et al. Traumatic mesenteric cyst after blunt abdominal trauma. Int J Surg Case Rep. 2011;2:159–162.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Guraya SY, Salman S, Almaramhy HH. Giant mesenteric cyst. Clin Pract. 2011;1:e108.

  67. Kurnicki J, Swiątkiewicz J, Wrzesińska N et al. Laparoscopic treatment of a huge mesenteric pseudocyst—case report. Videosurg Other Miniinvasive Tech. 2011;6:167–172.

    Article  PubMed  PubMed Central  Google Scholar 

  68. Leland HA, Lee JT, Tan JH et al. Cystic lymphangioma of the lesser curvature of the stomach–case report. J Rad Case Rep. 2011;5:31–37.

    Google Scholar 

  69. Punguyire D, Iserson KV. Mesenteric dermoid cyst in a child. Pan Afr Med J. 2011;10:41.

    PubMed  PubMed Central  Google Scholar 

  70. Yang DM, Jung DH, Kim H et al. Retroperitoneal cystic masses: CT, clinical, and pathologic findings and literature review. Radiographics 2004;24:1353–1365.

    Article  PubMed  Google Scholar 

  71. Bury TF, Pricolo VE. Malignant transformation of benign mesenteric cyst. Am J Gastroenterol. 1994;89:2085–2087.

    CAS  PubMed  Google Scholar 

  72. Tykkä H, Koivuniemi A. Carcinoma arising in a mesenteric cyst. Am J Surg. 1975;129:709–711.

    Article  PubMed  Google Scholar 

  73. Douglas GW, Kastin AJ, Huntington RW. Carcinoma arising in a retroperitoneal muellerian cyst, with widespread metastasis during pregnancy. Am J Obstet Gynecol. 1965;91:210–216.

    Article  CAS  PubMed  Google Scholar 

  74. Reis DG, Rabelo NN, Aratake SJ. Mesenteric cyst: abdominal lymphangioma. Arq Bras Cir Dig. 2014;27:160–161.

    Article  PubMed  PubMed Central  Google Scholar 

  75. Kurtz RJ, Heimann TM, Beck AR et al. Mesenteric and retroperitoneal cysts. Ann Surg. 1986;203:109–112.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  76. Liew SCC, Glenn DC, Storey DW. Mesenteric cyst. J Surg. 1994;64:741–744.

    CAS  Google Scholar 

  77. Beahrs OH, Judd ES, Dockerty MB. Chylous cysts of the abdomen. Surg Clin North Am. 1950;30:1081–1096.

    Article  CAS  PubMed  Google Scholar 

  78. Kosir MA, Sonnino RE, Gauderer MWL. Pediatric abdominal lymphangiomas: a plea for early recognition. J Ped Surg. 1991;26:1309–1313.

    Article  CAS  Google Scholar 

  79. Losanoff JE, Richman BW, El-Sherif A et al. Mesenteric cystic lymphangioma. J Am Coll Surg. 2003;196:598–603.

    Article  PubMed  Google Scholar 

  80. González-Moreno S, Yan H, Alcorn KW et al. Malignant transformation of “benign” cystic mesothelioma of the peritoneum. J Surg Oncol. 2002;79:243–251.

    Article  PubMed  Google Scholar 

  81. Irie T, Kuramochi M, Takahashi N et al. Percutaneous ablation of a mesenteric cyst using ethanol: is it feasible? CardioVasc Interv Radiol 2010;33:654–656.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Surgical Sciences, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy

    Federica Gagliardi, Augusto Lauro, Domenico Tripodi, Maria Ida Amabile, Piergaspare Palumbo, Filippo Maria Di Matteo, Giorgio Palazzini, Stefano Frattaroli, Vito D’Andrea, Salvatore Sorrenti & Daniele Pironi

  2. Urology Department, M.G. Vannini Hospital, Rome, Italy

    Flavio Forte

  3. Department of Surgery, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA

    Simone Khouzam & Ignazio R. Marino

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  1. Federica Gagliardi
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  2. Augusto Lauro
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  3. Domenico Tripodi
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Correspondence to Domenico Tripodi.

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Gagliardi, F., Lauro, A., Tripodi, D. et al. Mesenteric Cyst with GI Symptoms: A Fluid Approach to Treatment—Case Report and Literature Review. Dig Dis Sci 67, 786–798 (2022). https://doi.org/10.1007/s10620-021-07352-0

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