Case Report
Volume 7 Issue 3 - 2020
Mesenteric Cyst: A Rare and Overlooked Disease
Teresa Vieira Caroço1*, José Miguel Baião1, Ana Valente Costa2, Miguel Nico Albano2 and Carlos E Costa Almeida2
1General Surgery Department of Instituto Português de Oncologia de Coimbra Francisco Gentil, Coimbra, Portugal
2General Surgery Department (Unit E), Centro Hospitalar e Universitário de Coimbra - Hospital Geral, Coimbra, Portugal
*Corresponding Author: Teresa Vieira Caroço, General Surgery Department of Instituto Português de Oncologia de Coimbra Francisco Gentil, Coimbra, Portugal.
Received: January 27, 2020; Published: February 11, 2020


Mesenteric cysts are rare and usually benign. They can be found anywhere in the mesentery but more commonly within the small bowel mesentery. A 44 years-old male resorted to the General Surgery consultation with episodic abdominal pain. A large abdominal mass was noted in the left upper quadrant, mobile and without tenderness. A cystic mass with 8 x 7,5 cm was found in the abdominal CT scan suggesting the diagnosis of small bowel mesenteric cyst. Surgical excision was performed, and pathology identified a mesenteric lymphangioma. Recovery was uneventful and at follow-up patient was asymptomatic. Although mesenteric cysts are often asymptomatic and discovered incidentally, they can present with non-specific symptoms such as abdominal pain, nausea, vomiting or abdominal distension. Severe complications can occur, including bowel obstruction, hernia, volvulus or peritonitis. Imaging is highly suggestive, but pathology is fundamental for diagnosis. Surgery is the treatment of choice. Prognosis after excision is excellent.

Keywords: Mesenteric Cyst; Mesentery; Abdominal Mass; Abdominal Pain; Abdominal Surgery


  1. Yoon JW., et al. “A Case of Mesenteric Cyst in a 4-Year-Old Child with Acute Abdominal Pain”. Pediatric Gastroenterology, Hepatology and Nutrition 20.4 (2017): 268-272. 
  2. Santana WB., et al. “Cisto mesentérico - aspectos clínicos e anátomopatológicos”. Revista do Colégio Brasileiro de Cirurgiões 37.4 (2010): 260-264. 
  3. Ünlüer E., et al. “An uncommon cause of abdominal pain: Mesenteric cyst”. Interventional Medicine and Applied Science 8.1 (2016): 23-25. 
  4. Yagmur Y., et al. “Case Report of Four Different Primary Mesenteric Neoplasms and Review of Literature”. Iranian Red Crescent Medical Journal 18.10 (2016). 
  5. Pozzi G., et al. “Percutaneous drainage and sclerosis of mesenteric cysts: Literature overview and report of an innovative approach”. International Journal of Surgery 12.2 (2014): S90-S93.
  6. Leung BC., et al. “Conservative approach to the acute management of a large mesenteric cyst”. World Journal of Clinical Cases 5.9 (2017): 360. 
  7. Kurtz RJ., et al. “Mesenteric and retroperitoneal cysts”. Annals of Surgery 203.1 (1986): 109-112. 
  8. Lee DLP., et al. “Chylous mesenteric cyst: A diagnostic dilemma”. Asian Journal of Surgery 39.3 (2016): 182-186. 
  9. Razi K., et al. “Case report: elective removal of a large mesenteric cyst-our approach”. Journal of Surgery Case Reports 3 (2017): 1-3. 
  10. Long CY., et al. “Incidental diagnosis of a mesenteric cyst mimicking an ovarian cyst during laparoscopy”. Taiwanese Journal of Obstetrics and Gynecology 50.3 (2011): 388-389. 
  11. de Perrot M., et al. “Mesenteric cysts. Toward less confusion”. Digestive Surgery 17.4 (2000): 323-328. 
  12. El-Agwany AMS. “Huge mesenteric cyst: Pelvic cysts differential diagnoses dilemma”. Egyptian Journal of Radiology and Nuclear Medicine 47.2 (2016): 373-376. 
  13. Yamabuki T., et al. “Laparoscopic Resection of a Jejunal Mesenteric Pseudocyst”. Case Reports in Gastroenterology 11.3 (2017): 526-530. 
  14. Vallejo-Soto M and Orozco-Simental S. “Quiste mesentérico gigante simulador de ascitis intractable”. Revista de Gastroenterología de México 82.4 (2017): 348-351. 
  15. Falidas E., et al. “Traumatic mesenteric cyst after blunt abdominal trauma”. International Journal of Surgery Case Reports 2.6 (2011): 159-162. 
  16. Rajendran S., et al. “The diagnosis and treatment of a symptomatic mesenteric cyst”. BMJ Case Reports 2 (2014): 4. 
  17. Al Booq Y., et al. “Giant chylolymphatic mesenteric cyst and its successful enucleation: A case report”. International Journal of Surgery Case Reports 5.8 (2014): 469-470. 
  18. Ayyappan AP., et al. “Radiological assessment of mesenteric and retroperitoneal cysts in adults: Is there a role for chemical shift MRI?” Clinical Imaging 35.2 (2011): 127-132. 
Citation: Teresa Vieira Caroço., et al. “Mesenteric Cyst: A Rare and Overlooked Disease”. EC Gastroenterology and Digestive System 7.3 (2020): 01-06.

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