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[Mesenteric cyst].

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Cysts↗

[Mesenteric cysts].

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Cysts↗

Malignant transformation of benign mesenteric cyst.

We describe the clinical and pathological features of a case of mesenteric cyst which was incompletely excised, recurred over several years, and eventually underwent malignant transformation. A review of the literature shows how mesenteric cysts are still poorly understood clinical entities, often difficult to classify even after histopathological evaluation. This is the first reported case of transformation of a benign mesenteric cyst into adenocarcinoma. Complete excision of all mesenteric cysts should be carried out, to prevent recurrence and possible malignant transformation.

Adenocarcinoma↗

[Mesenteric cyst as the etiology of abdominal pain--a case report].

INTRODUCTION: Mesenteric cysts are part of the differential diagnosis of abdominal tumors. We want to remember this diagnosis with the following case report. CASE REPORT: A 35-year-old woman was admitted for abdominal pain that had begun two weeks previously. Sonographic examination and CT scan of the abdomen showed a 14 x 12 x 3 cm abdominal tumor without any relation to the uterus, adnexa or organs of the epigastrium. Laparotomy was performed and the cystic tumor removed. DISCUSSION: Mesenteric cysts are rare. The pathogenesis is not uniform and the clinical and radiologic diagnosis is difficult. The symptoms of this condition vary from acute abdominal signs to non-specific abdominal features or incidental findings. Mesenteric cysts can be located anywhere in the mesentery from the duodenum to the rectum. The treatment of choice is resection. CONCLUSIONS: Mesenteric cysts are rare abdominal conditions. The resection of the cyst and the verification of the diagnosis is the treatment of choice.

Abdomen, Acute↗

[Mesenteric cysts in Denmark in 1980-86].

On the basis of a material of mesenteric cysts from a period of six years in all Denmark, the symptomatology, diagnosis and treatment of mesenteric cysts (MC) are described. These cysts are rare: approximately one par 130,000 somatic admissions. Mesenteric cysts may be encountered along the entire gastro-intestinal canal from the duodenum to the rectum but are, however, most frequent in the mesentery of the small intestine. The symptoms were variable and depended upon the site, mobility, tension on the mesentery, the complications and, to a lesser extent, on the size. Ultrasonic scanning was the most important diagnostic aid. 5% of the cysts contained chyle and up to one third of these are stated to be malignant. Computed tomographic scanning is recommended preoperative as the density can reveal whether the content is chylous. Enucleation of mesenteric cysts would be attempted but, in cases of large cysts which prove difficult to resect, internal marsupialization may be employed. Material with low frequencies of recurrence and few complications have been presented employing this therapeutic method.

Adolescent↗