Case-report: A rare cause of an intra-abdominal mass
| العنوان: | Case-report: A rare cause of an intra-abdominal mass |
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| المؤلفون: | Waseem Hameed, Rebecca Nunn, Amanda Shabana, Farzan Dholoo |
| المصدر: | International Journal of Surgery Case Reports |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, Abdominal pain, ’s and, medicine.medical_treatment, Asymptomatic, Article, 03 medical and health sciences, 0302 clinical medicine, surgical, Laparotomy, parasitic diseases, medicine, Cyst, Abdominal, pain, medicine.diagnostic_test, business.industry, Mesenteric cyst, Magnetic resonance imaging, Abdominal distension, medicine.disease, Abdominal mass, 030220 oncology & carcinogenesis, Mesenteric, mass, 030211 gastroenterology & hepatology, Surgery, Radiology, medicine.symptom, business, techniques |
| الوصف: | Highlights • Mesenteric cysts may present with symptoms of early saiety and bloating. • Mesenteric cyst anatomy may be difficult to delineate on Ultrasound imaging alone. • Mesenteric cyst drainage and marsupialisation is a safe alternative to excision. Introduction Mesenteric cysts are a rare and often asymptomatic incidental finding on imaging. The diagnosis and management of mesenteric cysts remains a clinical challenge since those presenting with symptoms, often have vague and nonspecific symptoms, owing to variability in cyst location and size. This case report will aim to discuss the presentation, investigation and management options available. Presentation A 73-year-old female presented with abdominal swelling and a palpable right sided mass. Examination revealed a right sided mass and abdominal distention with vital signs within normal limits. Ultrasound scan (USS) revealed a right-sided 12 cm × 11 × cm × 8 cm thin walled cyst. Discussion Mesenteric cysts are mostly asymptomatic but can cause nonspecific symptoms of abdominal pain, abdominal distension, altered bowel habit, nausea, vomiting and an abdominal mass. Complete surgical excision, either laparoscopically, or through a laparotomy is typically considered first line treatment. If size or location of the cyst precludes complete surgical excision, partial excision with marsupialisation of the opening of the cyst into the abdominal peritoneal cavity is a second option. Conclusion Mesenteric cysts represent a rare cause of intra-abdominal mass. Owing to low prevalence, literature is limited as is guidance on management. Careful pre-operative planning is essential so as to avoid operative complications. Imaging such as USS is of great importance; however Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) may be of more benefit, owing to the complex anatomical relations within which mesenteric cysts can present. Surgical excision is widely reported as the surgical treatment of choice for symptomatic cysts. |
| تدمد: | 2210-2612 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4f653950f6aa90e28f48bb1817362a3f https://pubmed.ncbi.nlm.nih.gov/31783232 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....4f653950f6aa90e28f48bb1817362a3f |
| قاعدة البيانات: | OpenAIRE |
Full Text via ClinicalKey | تدمد: | 22102612 |
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