scholarly journals Pathological Discrepancy: Simple Mesenteric Cyst vs. Mesenteric Lymphangioma

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Vygintas Aliukonis ◽  
Marius Lasinskas ◽  
Algirdas Pilvelis ◽  
Audrius Gradauskas
Keyword(s):  
Histological Finding ◽  
Cystic Lymphangioma ◽  
Mesenteric Cyst ◽  
Histological Structure ◽  
Complete Excision ◽  
Case Presentation ◽  
Mesenteric Lymphangioma ◽  
Cystic Lymphangiomas ◽  
Mesothelial Cyst ◽  
Mesenteric Cysts

Introduction. Both mesenteric cysts and cystic lymphangiomas are scarce and clinically and radiologically almost identical derivatives, but their histological structure is fundamentally different. Case Presentation. A 52-year-old woman was consulted by a surgeon for a derivative felt in her abdomen. The patient said she felt a growing derivative in the abdomen about a month ago. After consulting and testing, a sigmoid colon mesenteric cyst ( 13   cm × 11   cm × 10   cm ) was found. Complete excision of the cyst within healthy tissues was performed through laparotomy. The surgery had no complications. The initial pathological answer was a simple mesothelial cyst (a rare histological finding). However, immunohistochemical tests were performed that showed that diagnosis was mesenteric cystic lymphangioma (ML). Cystic lymphangiomas that have a link to the mesentery have been described less than 200 times. Conclusions. Final differential diagnosis between different cystic derivatives is possible only based on histopathological examinations. Mesenteric lymphangioma is most common at a very young age, but in rare cases, it also occurs in adults. All clinicians should increase their awareness of the disease.

scholarly journals Mesothelial Cyst in a Young Female: Case report and literature review

2021 ◽  
pp. 203
Author(s):  
◽  
◽  
◽  
◽  
Keyword(s):  
Abdominal Mass ◽  
Correct Diagnosis ◽  
Young Female ◽  
Cystic Mass ◽  
Mesenteric Cyst ◽  
Benign Tumors ◽  
Presenting Symptoms ◽  
Abdominal Symptoms ◽  
Mesothelial Cyst ◽  
Mesenteric Cysts

Mesenteric cysts are rare intra-abdominal benign tumors (1 in 100,000 cases in adults) with various clinical presentations. [1,2] They commonly originate from the small bowel mesentery, although a proportion has been found to originate from the mesocolon, and retroperitoneum. [1,3] The formation of mesenteric cysts depends on the histologic origin, where they could be classified into cysts of lymphatic origin, cysts of mesothelial origin, cysts of enteric origin, cysts of urogenital origin, dermoid cysts and pseudocysts. [4,5] Diagnosis is extremely difficult since. The Mesenteric cyst is usually asymptomatic, but if symptomatic, abdominal pain (82%), nausea and vomiting (45%), constipation (27%) are the most common presenting symptoms. [2,3] The clinical finding of abdominal mass is encountered in more than 61% of the patients. [2,3]. As this condition is very rare and its symptomatology can resemble any other abdominal diseases, diagnosis is extremely difficult and incorrect preoperative diagnosis is often made. Hence, performing physical examination and conducting radiological investigations such as ultrasonography (USG) and computed tomography (CT) are important in making a correct diagnosis. [2,3] As well as cases of mesothelial cysts, they are typically asymptomatic but occasionally, their symptoms are vague and non-specific. [6,7] As mentioned above, imaging modalities such as USG, CT and magnetic resonance imaging (MRI) are great in identifying the character, size, location, surrounding tissues and the wall and content of the cysts. [7] Surgery is the treatment of choice, as a complete resection with negative borders is curative and often prevents recurrence. [3] We report a case of a young female patient who presented with a vague abdominal symptoms and a large cystic mass in lower abdomen. After proper evaluation, surgical exploration revealed a large simple mesothelial cyst.

scholarly journals Ileal mesenteric cyst in young patient – Case presentation

2017 ◽  
Vol 23 (2) ◽  
pp. 79-82
Author(s):  
V. Chisalau ◽  
C. Tica ◽  
S. Chirila ◽  
C. Ionescu
Keyword(s):  
Abdominal Cavity ◽  
Clinical Manifestations ◽  
Mesenteric Cyst ◽  
Surgical Removal ◽  
Patient Case ◽  
Case Presentation ◽  
Mesenteric Cysts ◽  
Advanced Stages ◽  
Low Incidence ◽  
The Ideal

AbstractMesenteric cysts represent rare diseases of the abdominal cavity. The low incidence and the nonspecific clinical manifestations lead to a difficult diagnosis. Most of the time, these are diagnosed in advanced stages when complications arise or by chance following routine imagistic investigations. The ideal treatment for mesenteric cysts is the total surgical removal. The prognostic is favorable in most of the cases.

scholarly journals Cystic Lymphangioma of the Greater Omentum: A Case of Partial Spontaneous Regression and Review of the Literature

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Haraesh Maranna ◽  
Lovenish Bains ◽  
Pawan Lal ◽  
Rahul Bhatia ◽  
Mohd Yasir Beg ◽  
...  
Keyword(s):  
Spontaneous Regression ◽  
Hospital Admissions ◽  
Pediatric Population ◽  
Lower Abdominal Pain ◽  
Cystic Lymphangioma ◽  
Greater Omentum ◽  
Case Presentation ◽  
Diagnostic Uncertainty ◽  
Cystic Lymphangiomas ◽  
Alternative Routes

Introduction. Omental cysts are a part of cystic lymphangiomas and are benign proliferations of ectopic lymphatics without a communication with the normal lymphatic system. They commonly involve the neck in the pediatric population and are uncommon at other sites and occur rarely in adults. Case Presentation. A 42-year-old female with complaints of vague lower abdominal pain for 8 months presented with a soft, nontender swelling of size 22×18 cm in the hypogastrium and umbilical region. Computerized tomography (CT) of the abdomen showed a peripherally enhancing hypodense cystic lesion of size 19×14×12 cm perhaps arising from the mesentery. The cyst had spontaneously reduced in size by about 70% over the next 4 months. During surgery, the cyst of size 10×9×8 cm was present in the greater omentum. Excision was done, and histopathology was suggestive of cystic lymphangioma. Discussion. Cystic lymphangiomas have an incidence of 1/20000 at infancy and 1/100000 to 1/250000 of hospital admissions in adults, and the female-to-male ratio is 2 : 1. In adults, they are found in the age group between 40 and 70 years. Spontaneous regression of omental cysts is very rare and presumably from increased pressure in cysts overcoming incomplete obstructions or by establishment of alternative routes of drainage. Conclusion. As the disease is essentially benign and if there are no significant pressure symptoms, the cysts of short duration can be watched further for regression. Long-standing, symptomatic cysts, nonregression, and diagnostic uncertainty will warrant surgery to confirm the diagnosis and relieve the symptoms.

scholarly journals Surgical management for mesenteric cysts in pediatric patients: a single center experience

2018 ◽  
Vol 5 (4) ◽  
pp. 1217
Author(s):  
Ahmed M. Gafar ◽  
Mohamed Y. Batikhe
Keyword(s):  
Acute Abdomen ◽  
Demographic Data ◽  
Abdominal Mass ◽  
Intestinal Resection ◽  
Mesenteric Cyst ◽  
P Value ◽  
Complete Excision ◽  
Cyst Excision ◽  
Presenting Symptoms ◽  
Mesenteric Cysts

Background: Mesenteric cysts are exceptional abdominal lesions of childhood. Presentation may vary with broad spectrum of symptoms from asymptomatic mass and nonspecific complaints to an acute abdomen. Objectives of this study were to present a series of patients with mesenteric cysts and to analyze our experience with emphasis on the presentation, management, and outcome.Methods: This observational study included thirteen children were diagnosed and treated for mesenteric cysts. All cases subjected to clinical evaluation, laboratory investigations and radiological studies. The diagnosis was confirmed on laparotomy. Ethics committee approval was obtained. The main data which extracted and analyzed included demographic data, operative finding, postoperative complications and duration of hospital stay. Data were analyzed using SPSS for Windows software and P value of ≤ 0.05 was considered significant.Results: There were 13 patients with mesenteric cyst, 5 girls and 8 boys. The ages ranged from neonate to 8 years. Abdominal mass and pain was the main presenting symptoms. Prenatal diagnosis established in two cases. Laparotomy performed in all cases. Small bowel mesentery is the commonest site. Two patients required urgent surgery. Surgical procedures included cyst excision with or without intestinal resection. Chylolymphatic cyst was documented in 4 cases. Post-operative complications reported in 2 cases.Conclusions: Mesenteric cysts are unusual in children with variable clinical presentation. Complete excision was feasible in nearly all cases, bringing a favorable outcome. The possibility of this disease entity should be considered as the cause of acute abdomen.

MESENTERIC CYSTS IN INFANCY AND CHILDHOOD

PEDIATRICS ◽  
1959 ◽  
Vol 24 (3) ◽  
pp. 469-476
Author(s):  
Ernest E. Arnheim ◽  
Herman Schneck ◽  
Alex Norman ◽  
David H. Dreizin
Keyword(s):  
Abdominal Pain ◽  
Operative Mortality ◽  
Intestinal Wall ◽  
Additional Case ◽  
Diagnosis And Treatment ◽  
Mesenteric Cyst ◽  
Safe Procedure ◽  
Infancy And Childhood ◽  
Mesenteric Cysts ◽  
Radiologic Features

The pathologic, clinical and radiologic features, diagnosis and treatment of mesenteric cysts in infancy and childhood, based upon a study of 82 cases in the literature, are discussed. An additional case of mesenteric cyst is presented. Mesenteric cysts were usually noted in male children from 2 to 10 years of age, presenting with abdominal enlargement and abdominal pain, and revealing characteristic roentgenographic findings. Excision of the cyst was often complicated by adhesions to the intestinal wall; simultaneous resection of the involved intestine has become a safe procedure, with an operative mortality of 7% in recent years.

MUCINOUS MESENTERIC CYST OF SIGMOID MESOCOLON : A RARE ENTITY

2021 ◽  
pp. 22-23
Author(s):  
K.Prasanth Kumar ◽  
A.D.V. Lavanya ◽  
P.Surendra Reddy
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Physical Examination ◽  
Mesenteric Cyst ◽  
Rare Entity ◽  
Small Bowel Mesentery ◽  
Mesenteric Cysts ◽  
Sigmoid Mesocolon

Mesenteric cysts are rare and occur in patients of any age. They are asymptomatic and found incidentally or during the management of their complications. They commonly originate from the small bowel mesentery, although a proportion of them have been found to originate from the mesocolon (24%) and the retroperitoneum [1] [2,3,4,5] (14.5%). A mesenteric cyst originating in the sigmoid mesocolon is a very rare nding. They are a rare cause of abdominal pain and are discovered incidentally. If symptomatic, patients with these cysts present with abdominal pain, vomiting and low backache. Performing a thorough physical examination and conducting radiological investigations like ultrasonography (USG), computed tomography (CT) are keys in diagnosing the mesenteric cysts.

scholarly journals The largest reported intrathoracic lipoma: a case report and current perspectives review

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Mohammed Aldahmashi ◽  
Abdalmotaleb Elmadawy ◽  
Mahmoud Mahdy ◽  
Mohamed Alaa
Keyword(s):  
Single Case ◽  
Tumor Resection ◽  
Pathological Examination ◽  
Complete Excision ◽  
Case Presentation ◽  
Medical Checkup ◽  
Excellent Outcome ◽  
The Right ◽  
Intrathoracic Mass

Abstract Background The huge size intrathoracic lipomas are very rare. Few cases have been reported worldwide. To our knowledge, this presented case is one of the few cases reported. Here we report a single case as very huge intrathoracic lipoma compressing the right lung and displacing the diaphragm and liver downward. It has been managed by right posterolateral thoracotomy and complete excision, with excellent outcome. Case presentation A 32-year-old male presented with a symptomatic right intrathoracic mass, which was confirmed to be a lipomatous tumor using computed tomography. A penduculated tumor originating from the mediastinal pleura was resected through the conventional right posterior thoracotomy. Pathological examination indicated a diagnosis of fibrolipoma. Conclusion The tumor was symptomatic and relatively huge when detected during a medical checkup. This enabled the successful tumor resection via conventional thoracotomy approach. Although intrathoracic lipomas are histologically benign, careful observation and follow-up are crucial due to the possibility of recurrence.

scholarly journals Primary orbital extraskeletal osteosarcoma and review of literature

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jingwen Hui ◽  
Yun Zhao ◽  
Lei Zhang ◽  
Jinyong Lin ◽  
Hong Zhao
Keyword(s):  
Soft Tissues ◽  
Malignant Tumour ◽  
Extraskeletal Osteosarcoma ◽  
Complete Excision ◽  
Case Presentation ◽  
Left Orbit ◽  
Orbital Wall ◽  
Previous Trauma ◽  
History Of

Abstract Background Extraskeletal osteosarcoma is a malignant tumour composed of an osteoid and/or cartilaginous matrix; it arises in soft tissues without connection to the skeleton, and to our knowledge, this type of tumour is extremely rare. Case presentation The present study reports a 57-year-old man with primary orbital extraskeletal osteosarcoma who presented with a history of painful swelling in the left orbit that had occurred for 11 months. Imaging of the orbit showed an atypical, well-defined heterogeneous mass attached to the posterior globe of the left orbit. The patient underwent an anterior orbitotomy and complete excision of the tumour. The mass was originated from neither the globe nor the bony orbital wall but from the soft tissue. Histopathology demonstrated an extraskeletal osteosarcoma. After 13 months of follow-up, there was apparent recurrence of the tumour. The medical history showed no complaints of previous trauma or radiotherapy. Conclusions ESOS is a highly malignant tumour. Immunosuppression, trauma and adjuvant radiotherapy are possible predisposing factors in the development of this tumour. Prompt recognition and thorough treatment are essential for preventing orbital lesions and presence of metastasis from other organs.

scholarly journals Cystic Lymphangioma of the Colon: Endoscopic Removal beyond the Frontiers of Size

2017 ◽  
Vol 11 (1) ◽  
pp. 178-183 ◽  
Author(s):  
Kanthi Rekha Badipatla ◽  
Chaitanya Chandrala ◽  
Puvanalingam Ayyadurai ◽  
Madhavi Biyyam ◽  
Binita Sapkota ◽  
...  
Keyword(s):  
Endoscopic Resection ◽  
Colonic Neoplasms ◽  
Cystic Lymphangioma ◽  
Endoscopic Removal ◽  
Asymptomatic Individual ◽  
Cystic Lymphangiomas

Cystic lymphangiomas are benign colonic neoplasms arising from the submucosa. Traditionally, endoscopic resection has been described for smaller lesions, while surgery is reserved for larger symptomatic lesions. We present a case of a 69-year-old asymptomatic individual noted to have a cystic lymphangioma of the colon measuring 5 cm, which was successfully removed with endoloop endoscopic resection without any complications.

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