Summary:
Mesenteric cyst is rare with a variable clinical presentation.
The clinical presentation is not characteristic and the
preoperative imaging although suggestive but not
diagnostic. In most cases, the diagnosis is confirmed
following surgical exploration. We report a case of
chylolymphaticus variety of mesenteric cyst in18-year-old
girl, who was presented to us with diffuse abdominal pain
and lump in the lower abdomen for 14 days.
Ultrasonography (USG) of the abdomen revealed large
cystic lesion(12x10.8x11.4cm, volume77cc) in the
abdominal cavity containing dense echogenic debris within,
with no obvious flow in the wall-suggestive of twisted
chocolate cyst. Exploration of the abdomen revealed a
solitary cyst containing milky fluid about 55 cm distal to
dudenojejunal flexure and twisted cyanosed coils of
intestine. Histopathology of the excised cyst was consistent
with chylolymphaticus cyst (Mesenteric cyst)
Keywords : Laparotomy, Mesenteric Cyst, Chylolymphatic cyst.
(J Bangladesh Coll Phys Surg 2019; 37: 83-85)
DOI: https://doi.org/10.3329/jbcps.v37i2.40565