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Case Studies | General Surgery | India | Volume 13 Issue 2, February 2024 | Popularity: 5 / 10

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A Rare Surgical Entity - ChylolymphaticMesentric Cyst- presenting as Acute Intestinal Obstruction

Dr. Harsh Hirpara, Dr Ajay M. Rajyaguru

Abstract: Mesenteric cysts, particularly chylolymphatic cysts, represent a rare intra-peritoneal finding with potential complications in pediatric patients. These cysts, arising from lymphatic vessel proliferation, often present with non-specific symptoms such as abdominal pain, nausea, vomiting, and may lead to intestinal obstruction or volvulus. This case study focuses on a 12-year-old male presenting with abdominal pain and vomiting. Imaging studies including ultrasound and computed tomography CT scan were suggestive of small bowel obstruction due to a mesenteric cyst. Surgical exploration revealed a twisted mesentery and a sizable cyst requiring resection. Mesenteric cysts are classified based on etiology and pathological characteristics, and their definitive diagnosis relies on histopathological examination. Complete excision is the recommended treatment, with possible bowel resection if the cyst involves adjacent structures. This case underscores the importance of recognizing and managing these rare entities to achieve favorable outcomes.

Keywords: Mesenteric cyst, Chylolymphatic cyst, Pediatric, Small bowel obstruction, Histopathological examination

Edition: Volume 13 Issue 2, February 2024

Pages: 23 - 24

DOI: https://www.doi.org/10.21275/MR24129110054

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