Small Bowel Mesenteric Pseudocysts: Report of a Case and Review of the Literature

Small Bowel Mesenteric Pseudocysts: Report of a Case and Review of the Literature

Author Info

Corresponding Author
Gaetano Di Vita
General Surgery Unit, Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Italy

A B S T R A C T

Background: Mesenteric pseudocyst (MP) are rare clinical entity presenting a thick fibrotic wall with internal septae without epithelial lining cells. Case Report: We described one case of MP of a 50-year-old woman with persistent, non-specific, and non-responding to medical therapy abdominal pain. Laboratory tests, clinical examination and the abdominal US were un-conclusive while the CT scan of the abdomen showed a cystic lesion of the jejunal mesentery. We performed a laparoscopic surgical excision of the lesion with the resolution of clinical symptoms. The lesion resulted in inflammatory mesenteric cyst at the histological examination. At 5 years CT scan follow up we did not record any recurrences. Conclusion: MP present themselves without specific symptoms, diagnostic imaging techniques such as US or CT scan may define its features, location or size but fail in determining their benign or malign nature. In fact, even if, the majority of these lesions are benign, a rate of malign transformation of around 3% has been reported, which is why the complete surgical excision is the gold standard treatment.

Article Info

Article Type
Case Report and Review of the Literature
Publication history
Received: Mon 24, Aug 2020
Accepted: Wed 09, Sep 2020
Published: Mon 21, Sep 2020
Copyright
© 2023 Gaetano Di Vita. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.09.13