A Huge Mesenteric Chylous Cyst, Presenting as Abdominal Mass: A Rare Case Report

Mesenteric cysts are rare abdominal lesions. A mesenteric chylous cyst is a very rare type of mesenteric cyst that may occur anywhere through the bowel, from the duodenum to the rectum. The etiology of mesenteric cysts is unknown and several theories have been suggested for forming these cysts. A mesenteric cyst is mostly found incidentally during investigations for another pathology. The treatment of choice for mesenteric chylous cysts in symptomatic patients is complete excision (enucleation) by either laparoscopic or open technique. The prognosis of a completely excised mesenteric cyst is generally good and its malignant transformation is reported to be around 3%. We present a case of mesenteric chylous cyst in a 60-year-old female presented with abdominal pain, constipation, nausea, and vomiting, who underwent laparotomy and complete cyst excision rate. The purpose of this case report is to consider mesenteric chylous cyst in the differential diagnosis of all abdominal masses.

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Publication Details

Journal
International Medical Case Reports Journal
Published
2025-04-01
DOI
https://doi.org/10.2147/imcrj.s513146
Primary Topic
Vascular Malformations and Hemangiomas
Type
article
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article

A Huge Mesenteric Chylous Cyst, Presenting as Abdominal Mass: A Rare Case Report

Fareed Ahmad Nazari, Ghulam Yahia Baset, Soma Katawazai, Said Karim Zarif
International Medical Case Reports Journal
Vascular Malformations and Hemangiomas
article

A Huge Mesenteric Chylous Cyst, Presenting as Abdominal Mass: A Rare Case Report

Fareed Ahmad Nazari, Ghulam Yahia Baset, Soma Katawazai, Said Karim Zarif
article en

Abstract

Mesenteric cysts are rare abdominal lesions. A mesenteric chylous cyst is a very rare type of mesenteric cyst that may occur anywhere through the bowel, from the duodenum to the rectum. The etiology of mesenteric cysts is unknown and several theories have been suggested for forming these cysts. A mesenteric cyst is mostly found incidentally during investigations for another pathology. The treatment of choice for mesenteric chylous cysts in symptomatic patients is complete excision (enucleation) by either laparoscopic or open technique. The prognosis of a completely excised mesenteric cyst is generally good and its malignant transformation is reported to be around 3%. We present a case of mesenteric chylous cyst in a 60-year-old female presented with abdominal pain, constipation, nausea, and vomiting, who underwent laparotomy and complete cyst excision rate. The purpose of this case report is to consider mesenteric chylous cyst in the differential diagnosis of all abdominal masses.

International Medical Case Reports JournalVol. Volume 18
Kabul University (AF)
Zero hunger
Openalex Percentile: Top 86%
Vascular Malformations and Hemangiomas
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