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A rare cause of intraabdominal tumors: An analysis of 21 patients with mesenteric cyst

Author(s): Akın Önder | Murat Kapan | Zülfü Arıkanoğlu | İbrahim Aliosmanoğlu | Mehmet Hanifi Okur | Hakan Önder | İlhan Taş

Journal: Journal of Clinical and Experimental Investigations
ISSN 1309-8578

Volume: 2;
Issue: 4;
Start page: 380;
Date: 2011;
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Keywords: Mesenteric cyst | abdominal pain | palpabl mass | surgery

Objectives: Mesenteric cysts are rare intraabdominal tumors. In this study, we aimed to investigate the clinical findings, pathological features and surgical approaches of mesenteric cysts.Materials and methods: Between January 1985 - December 2010 at Dicle University Medical Faculty General Surgery and Pediatric Surgery Department, 21 patients with mesenteric cyst were retrospectively analyzed.Results: Sixteen patients (76.2%) were women and 5 (23.8%) were men, with a mean age of 32.62 ± 22:19 (4-79) years. The most common symptoms were abdominal mass and pain. Mesenteric cysts were often located on the small bowel mesentery (61.9%). Cyst sizes ranged from 4-25 cm in diameters. The most common performed surgical procedures in patients were enucleation (90.5%). The histopathological diagnosis was confirmed as cystic lymphangioma in 17 (80.9%) patients. The mean length of hospitals stay was 5.29 ± 2.28 (2-11) days. Postoperative morbidity rate was 33.3% and the most common complication was wound infection. There was no postoperative mortality.Conclusion: When physical examination revealed a palpable mass with regular margins and intraabdominal cystic mass is detected with imaging techniques, mesenteric cyst should be considered in differential diagnosis in patients presenting with abdominal pain. J Clin Exp Invest 2011; 2 (4): 380-383Key words: Mesenteric cyst, abdominal pain, palpabl mass, surgery
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