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首页> 外文期刊>International Journal of Surgery Case Reports >Laparoscopic excision of a voluminous mesenteric cyst: Case report of a rare entity and review of literature
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Laparoscopic excision of a voluminous mesenteric cyst: Case report of a rare entity and review of literature

机译：腹腔镜切除巨大的肠系膜囊肿：罕见实体的病例报告和文学审查

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Introduction The diagnosis and treatment of mesenteric cysts (MC) is a challenge due to rarity, lack of specific symptoms and variability in location and size. Mesenteric cysts are rare surgical entities that occur approximately in 1: 200,000–1: 350,000 hospitalizations. Presentation of case A 47-year-old female patient presented in August 2018 with occasional abdominal pains and an abdominal swelling palpable in the lower right quadrant. A CT scan with contrast enhancement confirmed a 11 cm mass with liquid content in the right iliac fossa, clearly separate from other intra-abdominal structures. The mass was completely excised laparoscopically. The patient was discharged on the third postoperative day. She was symptom-free at 30-day follow-up. Histology demonstrated a solitary non-pancreatic cyst of the mesentery with negative cytology for neoplastic cells. Discussion The origin of mesenteric cysts (MC) is uncertain. Imaging (by ultrasonography, CT, and MRI) can be diagnostic. Therapy for these cysts should be performed if they are symptomatic or cause complications. The treatment of choice is complete surgical excision. The advent of laparoscopy has allowed the excision of these cysts without laparotomy in the expert hands of surgeons with good experience in advanced laparoscopy. Laparoscopy is not a standard for the presence in the literature of only case reports. Conclusion MC are commonly asymptomatic and discovered incidentally. If symptomatic, surgical excision is considered the cornerstone intervention and laparoscopic resection is feasible, causing less pain, a shorter postoperative stay, and quicker recovery of the patient than open operation. Further studies with a higher level of evidence are needed.
机译：引言肠系膜囊肿（MC）的诊断和治疗是由于罕见，缺乏特异性症状和位置和尺寸的可变性是挑战。肠系膜囊肿是罕见的手术实体，其出现大约1：200,000-1：350,000份住院治疗。展示案件是一名47岁的女性患者于2018年8月展示，偶尔腹痛，腹部肿胀在右下象限。具有对比度增强的CT扫描证实了右髂骨中液体含量的11cm质量，与其他腹部结构显然分离。质量在腹腔镜上完全切除。患者在术后第三天出院。她在30天的随访中没有症状。组织学证明了肠系膜的孤立非胰腺囊肿，具有阴性细胞的阴性细胞。讨论肠系膜囊肿（MC）的起源是不确定的。成像（通过超声检查，CT和MRI）可以是诊断的。如果它们是对症或导致并发症，应进行这些囊肿的治疗。选择的治疗是完全的手术切除。腹腔镜检查的出现允许切除这些囊肿，而在外科医生的专家手中没有剖腹手术，在先进的腹腔镜检查中具有良好的经验。腹腔镜检查不是只有案例报告的文献中存在的标准。结论MC通常是无症状和偶然发现的。如果症状，手术切除被认为是基石干预和腹腔镜切除是可行的，导致疼痛较小，术后保持较短，患者恢复更快，而不是开放的操作。需要进行更高水平的证据进一步研究。

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