Mesenteric cyst

A mesenteric cyst (MeSH C04.182.473) is a cyst in the mesenterium, and is one of the rarest abdominal tumors, with approximately 822 cases reported since 1507.[1] The incidence is between 1 per 100,000 to 1 per 250,000 hospital admissions.[1]

Tillaux's triad named after the French surgeon Paul Jules Tillaux can be seen in cases of mesenteric cyst. It consists of the following signs:[2]

  • a fluctuating swelling near the umbilicus
  • freely mobile in the direction perpendicular to the attachment of mesentery
  • on percussion: zone of resonance—i.e., band of bowel resonance (due to loop of bowel in front of cyst) and dull note behind due to fluid inside the cyst

It is basically[clarification needed] of two types:

  1. Chylolymphatic, the most common type: thin wall, lined by flat endothelium, clear chylous fluid present, separate blood vessels
  2. Enterogenous: thick wall, lined by columnar, mucinous fluid present common blood supply

Treatments:

  1. Chylolymphatic cyst: Enucleation
  2. Enterogenous cyst: Excision of cyst along with resection and anastomosis of part of bowel that shares common blood supply with the cyst

References

  1. ^ a b Liew, S. C.; Glenn, D. C.; Storey, D. W. (1994). "Mesenteric cyst". The Australian and New Zealand Journal of Surgery. 64 (11): 741–744. doi:10.1111/j.1445-2197.1994.tb04530.x. PMID 7945079.
  2. ^ Goel, Trilok Chandra; Goel, Apul (2016-12-21). Lymphatic Filariasis. ISBN 9789811022579.


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