Lymphatic Mesenteric Cyst, a Rare Cause of Surgical Abdominal Pain: Case Report and Review of the Literature.
Autor: | Cudia B; General Surgery Unit - Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, ITA., D'Orazio B; General Surgery Unit - Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, ITA., Calì D; General Surgery Unit - Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, ITA., Di Vita G; General Surgery Unit - Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, ITA., Geraci G; General Surgery Unit - Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, ITA. |
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Jazyk: | angličtina |
Zdroj: | Cureus [Cureus] 2020 Nov 29; Vol. 12 (11), pp. e11766. Date of Electronic Publication: 2020 Nov 29. |
DOI: | 10.7759/cureus.11766 |
Abstrakt: | A lymphatic mesenteric cyst (LMC) is a rare clinical entity, of unclear etiopathogenesis, which can arise in the abdominal cavity or retroperitoneum without a clear origin. We describe a case of a 74-year-old male presenting with abdominal pain that was non-specific and non-responsive to medical therapy. Laboratory tests clinical examination were inconclusive while the abdominal computed tomography (CT) scan showed a cystic lesion of the ileal mesentery. We performed an open surgical excision of the lesion with the resolution of clinical symptoms. The lesion resulted to be an LMC at the histological examination. At the five-year CT scan follow-up, we did not record any recurrences. LMCs present without specific symptoms and imaging diagnostic techniques, such as ultrasound (US) or CT scan may define its features, location, or size. The preoperative diagnosis remains difficult, which is why the complete surgical excision is the gold standard treatment, aiming to prevent malignant transformation, complications, and recurrences. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2020, Cudia et al.) |
Databáze: | MEDLINE |
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