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Lokavarapu MJ, Huda F, Mahindrakar B, Kumar S, Kumar N. Giant Mesenteric Cyst With Gastric Perforation Masquerading As Obstructed Inguinal Hernia: A Rarest of the Rare Case. Cureus 2021; 13:e17919. [PMID: 34660112 PMCID: PMC8515911 DOI: 10.7759/cureus.17919] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/09/2021] [Indexed: 11/12/2022] Open
Abstract
Mesenteric cysts are extremely rare intra-abdominal tumors. They usually present with an array of symptoms, usually non-specific, which leads to difficulty in diagnosing them. Occasionally these can present in the emergency as an acute abdomen. We report a rare presentation of a huge mesenteric cyst with gastric perforation, misdiagnosed clinically as obstructed inguinal hernia. A 50-year male presented with complaints of sudden severe pain in the abdomen along with swelling and pain in the right groin region with absolute constipation for the last 4 days. A clinical diagnosis of obstructed inguinal hernia was made. However, on radiological investigations, it was discovered as a giant intra-abdominal cyst herniating into the inguinal canal. On exploration, we were further surprised to find a concomitant gastric perforation. In this case report, we highlight that mesenteric cysts can present as acute abdomen and, very rarely, can be associated with an accompanying cause of surgical abdomen.
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Affiliation(s)
| | - Farhanul Huda
- General Surgery, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND
| | | | - Shashank Kumar
- General Surgery, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND
| | - Navin Kumar
- General Surgery, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND
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Negahi A, Jahanshahi F, Boozari B, Sadeghipour A. The occurrence of giant mesenteric cyst and adrenal ganglioneuroma in a schizophrenic male patient presenting as pseudocyesis: A case report. Clin Case Rep 2021; 9:193-197. [PMID: 33489158 PMCID: PMC7813079 DOI: 10.1002/ccr3.3496] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2020] [Revised: 07/29/2020] [Accepted: 10/20/2020] [Indexed: 11/09/2022] Open
Abstract
In psychological patients like our case, somatically expressed symptoms which can imply another psychological syndrome should be dealt with cautiously.
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Affiliation(s)
- Alireza Negahi
- General Surgery DepartmentRasoul Akram Hospital, Iran University of Medical SciencesTehranIran
| | - Fatemeh Jahanshahi
- Student Research CommitteeFaculty of MedicineIran University of Medical SciencesTehranIran
| | - Behnaz Boozari
- Pathology Department, Firoozgar HospitalIran University of Medical SciencesTehranIran
| | - Alireza Sadeghipour
- Pathology DepartmentRasoul Akram Hospital, Iran University of Medical SciencesTehranIran
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Aguirre SV, Mercedes Almagro M, Romero CA, Romero SS, Molina GA, Buenaño RA. Giant mesenteric cyst from the small bowel mesentery in a young adult patient. J Surg Case Rep 2019; 2019:rjz002. [PMID: 30697414 PMCID: PMC6344927 DOI: 10.1093/jscr/rjz002] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2018] [Revised: 12/03/2018] [Accepted: 01/05/2019] [Indexed: 11/26/2022] Open
Abstract
Mesenteric cysts are rare tumors, they can emerge from any part of the mesentery of the bowel from the duodenum to the rectum. Their symptomatology can mimic almost any abdominal disease making diagnosis troublesome. In some circumstances, these cysts can grow to considerable sizes making resection almost impossible since its size can compromise different structures. Surgery is the treatment of choice as complete resection is the only curative treatment. We present a case of a female patient, she suffered from recurrent episodes of abdominal pain mistaken as gastritis. After a profound evaluation, a giant mass in her abdomen was identified and successfully treated. Giant primary mesenteric cyst was the final diagnosis.
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Affiliation(s)
- S Vicente Aguirre
- Department of General Surgery, Hospital Eugenio Espejo, Quito, Ecuador
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Kurnicki J, Swiątkiewicz J, Wrzesińska N, Skórski M. Laparoscopic treatment of a huge mesenteric pseudocyst - case report. Wideochir Inne Tech Maloinwazyjne 2011; 6:167-72. [PMID: 23255977 PMCID: PMC3516932 DOI: 10.5114/wiitm.2011.24696] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2010] [Revised: 02/20/2011] [Accepted: 06/29/2011] [Indexed: 11/25/2022] Open
Abstract
Intra-abdominal cysts and pseudocysts are rarely occurring lesions. Their incidence is reported to be 1 per 100 000-250 000 hospitalizations. The lesions' rarity and their mostly asymptomatic development causes troubles in early recognition and treatment. The patients' complaints are unspecific and mostly occur when the cysts are enlarged. Sometimes these entities may cause signs of peritoneal irritation and be the reason for immediate operation. It may happen in the event of cyst rupture, torsion, haemorrhages into the lesion or signs of compression of neighbouring structures. Many radiological methods are helpful in revealing intra-abdominal cysts. Unfortunately they cannot accurately distinguish the character of the lesion. The most common surgical procedure of treatment is excision during laparotomy. However, in some cases the laparoscopic approach can be equal to open surgery. This article presents a case of a young woman with a large intra-abdominal pseudocyst treated with laparoscopy.
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Affiliation(s)
- Jacek Kurnicki
- Department of General and Thoracic Surgery, Public Central Teaching Hospital, Warsaw, Poland
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Laparoscopic treatment of an omental cyst misdiagnosed as an adnexal cyst: A case report. ACTA ACUST UNITED AC 2010. [DOI: 10.5468/jwm.2010.3.2.84] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Rosón Rodríguez PJ, Asensio ADF, Quintero Barranco B. [Giant retroperitoneal mesenteric cyst presenting as dyspepsia]. GASTROENTEROLOGIA Y HEPATOLOGIA 2010; 33:25-29. [PMID: 19800147 DOI: 10.1016/j.gastrohep.2009.07.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2009] [Revised: 07/27/2009] [Accepted: 07/29/2009] [Indexed: 05/28/2023]
Abstract
Dyspepsia is a frequent cause of referral to gastroenterology units. After appropriate investigations, many patients receive a diagnosis of functional disorders, although dyspepsia can have an organic basis. We present the case of a woman with typical symptoms of dyspepsia, which were initially mild. After appropriate investigations, the patient was diagnosed with a giant retroperitoneal tumor. We discuss the diagnostic approach to this entity and review the literature on the topic.
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Affiliation(s)
- Pedro J Rosón Rodríguez
- Unidad de Aparato Digestivo, Hospital Alta Resolución de Benalmádena, Benalmádena, Málaga, España.
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Vecchio R, Leanza V, Genovese F, Accardi M, Gelardi V, Intagliata E. Conservative Laparoscopic Treatment of a Benign Giant Ovarian Cyst in a Young Woman. J Laparoendosc Adv Surg Tech A 2009; 19:647-8. [DOI: 10.1089/lap.2009.0138] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Rosario Vecchio
- Department of Surgery, University of Catania, Catania, Italy
| | - Vito Leanza
- Department of OB/GYN, Azienda Vittorio Emanuele, Catania, Italy
| | | | - Manuela Accardi
- Department of OB/GYN, Azienda Vittorio Emanuele, Catania, Italy
| | | | - Eva Intagliata
- Department of Surgery, University of Catania, Catania, Italy
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Sakurai Y, Taniguchi K, Uyama I, Inaba K, Furuta S, Sunagawa R, Nagasako Y, Ishida Y, Hiramatsu Y, Yonemura J, Isogaki J, Komori Y. Laparoscopic Excision of the Cystic Lymphangioma Occurred in the Lesser Omentum. Surg Laparosc Endosc Percutan Tech 2009; 19:e11-4. [DOI: 10.1097/sle.0b013e31818a8a9b] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Clasic Resection of a Mesenteric Cyst - Case Report and Literature Review. POLISH JOURNAL OF SURGERY 2009. [DOI: 10.2478/v10035-009-0069-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Ryu WS, Kwak JM, Seo UH, Kim SH, Park SS, Kim CS, Lee CH, Mok YJ. Laparoscopic treatment of a huge cystic lymphangioma: partial aspiration technique with a spinal needle. J Laparoendosc Adv Surg Tech A 2008; 18:603-5. [PMID: 18721013 DOI: 10.1089/lap.2007.0145] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
A cystic lymphangioma is a rare intra-abdominal lesion. Treatment is a complete excision of the cyst because of complications and a rare chance of malignancy. In this paper we report on 2 patients with a huge cystic lymphangioma who were treated by laparoscopic surgery successfully. Each of the cysts were 13 and 11 cm in diameter, were diagnosed by ultrasonography and computed tomography scan. After partial aspiration of the cysts, using a spinal needle, we were prone to grasp the cysts without spillage. Traction and dissection were easy without spillage or injury of the mesenteric vessels. The laparoscopic approach can be successfully and safely performed by an experienced surgeon in keeping with oncologic principles.
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Affiliation(s)
- Woo-Sang Ryu
- Department of Surgery, Korea University College of Medicine, Seoul, Korea
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