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Eight-Kilogramme Giant Mesenteric Cyst of Mullerian Origin: Case Report and Review of Literature

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Abstract

Mesenteric cysts are a rare occurrence in clinical practice, and even fewer are found to be of Mullerian origin. Diagnosis of mesenteric cysts is typically based on clinical assessment and radiological imaging. Surgical excision remains the primary treatment option. We report a case of a middle-aged lady presenting with a giant mesenteric cyst weighing 8-kilogrammes that was managed with laparotomy. Current literature of this rare clinical entity was also reviewed, including differential diagnoses of cystic lesions within the abdomen and role of imaging in guiding pre-operative diagnosis and management strategies. The giant mesenteric cyst was successfully excised en bloc without spillage via a laparotomy. Analgesia optimisation was achieved with a continuous local anaesthetic infusion. Pre-operative radiology can assist in diagnosis of the mesenteric cyst and guide management. Should an open surgical approach be selected, analgesia can be optimised with a continuous local anaesthetic infusion which decreases need for opioid medications.

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Acknowledgements

The authors would like to thank Dr. Seet Ju Ee from the Department of Pathology, National University Hospital for her expert opinion in the pathological diagnosis of the surgical specimen.

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Authors and Affiliations

  1. Department of Surgery, University Surgical Cluster, National University Hospital, 5 Lower Kent Ridge Rd, Singapore, 119074, Singapore

    Eugene Kwong Fei Leong & James Wai Kit Lee

  2. Department of Surgery, Ng Teng Fong General Hospital, Singapore, Singapore

    Eugene Kwong Fei Leong, James Wai Kit Lee & Christopher Hang Liang Keh

  3. Department of Surgery, Alexandra Hospital, Singapore, Singapore

    James Wai Kit Lee

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  1. Eugene Kwong Fei Leong
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Contributions

EKFL was responsible for literature review, writing and paper revision.

LWKJ was responsible for literature review, paper revision, critique and quality assessment.

KHLC was responsible for formulation of the article, paper revision, critique and quality assessment.

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Correspondence to Eugene Kwong Fei Leong.

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Leong, E.K.F., Lee, J.W.K. & Keh, C.H.L. Eight-Kilogramme Giant Mesenteric Cyst of Mullerian Origin: Case Report and Review of Literature. SN Compr. Clin. Med. 4, 241 (2022). https://doi.org/10.1007/s42399-022-01315-w

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