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 infront of cyst) and dull note behind due to fluid inside the cyst
It is basically[clarification needed] of two types:
Chylolymphatic, the most common type: thin wall, lined by flat endothelium, clear chylous fluid present, separate blood vessels
Enterogenous: thick wall, lined by columnar, mucinous fluid present common blood supply
Treatments:
Chylolymphatic cyst: Enucleation
Enterogenous cyst: Excision of cyst along with resection and anastomosis of part of bowel that shares common blood supply with the cyst
^ abLiew, 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.
^Goel, Trilok Chandra; Goel, Apul (2016-12-21). Lymphatic Filariasis. ISBN 9789811022579.
A mesentericcyst (MeSH C04.182.473) is a cyst in the mesenterium, and is one of the rarest abdominal tumors, with approximately 822 cases reported since...
Mesenteric pseudocyst, or pseudomesenteric cyst) is a mass in the abdomen that is devoid of any epithelial lining. They are caused either due to trauma...
hepatic artery, superior mesenteric artery, gastroduodenal artery or retroduodenal artery. Approximately half of superficial cystic arteries have been shown...
communicates with the inferior mesenteric vein, although this is highly variable. Other tributaries of the portal vein include the cystic and the left and right...
a. superior pancreaticoduodenal a. right hepatic a. cystic a. left hepatic a. superior mesenteric a. inferior pancreaticoduodenal a. jejunal and ileal...
mesenteric arteries. The lymphatic vessels of the head and neck drain into intermediate lymphatic vessels around the pancreaticoduodenal, mesenteric and...
a branch of the superior mesenteric artery (SMA), while the latter third is supplied by branches of the inferior mesenteric artery (IMA). The "watershed"...
and cancer (1%). More common in those who are older, ischemic colitis, mesenteric ischemia, and abdominal aortic aneurysms are other serious causes. Acute...
ability and patient preference. Mesenteric ischemia results from the acute or chronic obstruction of the superior mesenteric artery (SMA). The SMA arises...
arise from the superior mesenteric artery (SMA) and a misplaced left hepatic artery may arise from the left gastric artery. The cystic artery generally comes...
pancreas) is the region of the gland that runs anterior to the superior mesenteric artery; by convention, it divides the right and left sides of the pancreas...
identifying important differentials, such as ovarian pathology in females or mesenteric adenitis in children. The standard treatment for acute appendicitis involves...
the cyst travels down into the stomach. The amoebae inside the cyst are protected from the stomach's digestive acid. From the stomach, the cyst travels...
volvulus, a twisting of the entire small bowel that can obstruct the mesenteric blood vessels leading to intestinal ischemia, necrosis, and death if not...
portal vein. This portal vein is formed by the union of the superior mesenteric vein and the splenic vein posterior to the neck of the pancreas at the...
intestine. It can also be found in tissues such as spleen, liver, and mesenteric lymph nodes (located in the walls of the intestines). Sporulated oocyst...
decreased blood supply, such as stroke, lower extremity ischemia, or mesenteric ischemia. Aortic dissection can quickly lead to death from insufficient...
Sakamaki, A; Niwa, Y; Tominaga, K; Mizuno, K; Terai, S (22 July 2019). "Rare Mesenteric Arterial Diseases: A Case Report of Fibromuscular Dysplasia and Segmental...