Mesenteric Cyst in 22 Cases
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ORIGINAL RESEARCH
Mesenteric Cyst in 22 Cases Yusuf Yavuz 1
&
Alper Varman 2
&
Üyesi Mustafa Şentürk 3
&
Mehmet Tolga Kafadar 4
Accepted: 13 September 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Background The aim of this study is to retrospectively and multi-centerly examine the clinicopathological features of patients who were operated with the diagnosis of mesenteric cyst, which is a rare cause of intra-abdominal mass in the last 9 years, in the light of the literature. Methods The patients were operated due to mesenteric cysts in the general surgery clinics of two Training and Research Hospital between 2010 and 2019; age, gender, preoperative clinical findings, computed tomography (CT) findings, localization of the mass, surgical procedure, morbidity, histopathological results, and follow-up period status were analyzed and reported electronically. Results The patients generally applied with the complaints of abdominal pain, palpable abdominal mass, and abdominal distention. Fourteen (63.7%) of the cases were male and 8 (36.3%) were female. The mesenteric cysts were located in the small intestine in 18 cases and colon in 4 cases. In the histopathological examination of the surgical materials, simple cyst was detected in 17 cases, lymphangioma in 4 cases, colon adenocarcinoma, and simple cyst in 1 case. In the postoperative period, superficial surgical site infection developed in 3 patients and morbidity developed in 1 patient due to anastomotic leakage. Conclusion Although mesenteric cysts are rarely seen, although most of them are not histopathologically malignant, they can reach large sizes and require extensive surgical operation, and related morbidities can be seen. Therefore, mesenteric cysts should be followed carefully in the postoperative period as well as during the diagnosis and surgical treatment process. Keywords Mesenteric cyst . Lymphangioma . Intra-abdominal mass
Introduction Mesenteric cysts, which are among the rare reasons of intra-abdominal masses, are diagnosed with abdominal pain, abdominal distention, palpable abdominal mass, and constipation; they may also be incidentally detected in abdominal imaging examinations performed for different reasons. They are usually masses with benign characteristics [1]. They give * Üyesi Mustafa Şentürk [email protected]
symptoms according to their sizes and localizations. They are mostly located in the small intestine and in the colon at a lower rate. Mesenteric cyst should be kept in mind in differential diagnosis in the patients examined with the suspicion of intra-abdominal mass. They may be the cause of acute abdomen in the pediatric population, such as ileus or small intestine volvulus [2]. Since it has a risk of turning into malignancy (3%), surgical excision is recommended when detected [3]. In 1
Clinic of General Surgery, Sanliurfa Training and Research Hospital, Sanliurfa, Turkey
2
Clinic of General Surgery, Konya Provincial Health Directorate Dr. Ali Kemal Belviranli Obstetrics and Pediatrics
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