Mesothelial cyst in a young female: Case report and literature review

Abstract

Mesenteric cysts are rare intra-abdominal benign
tumors (1 in 100,000 cases in adults) with various
clinical presentations [1,2]. They commonly
originate from the small bowel mesentery,
although a proportion has been found to originate
from the mesocolon, and retroperitoneum [1,3].
The formation of mesenteric cysts depends
on the histologic origin, where they could be
classified into cysts of lymphatic origin, cysts of
mesothelial origin, cysts of enteric origin, cysts of
urogenital origin, dermoid cysts and pseudocysts
[4,5]. Diagnosis is extremely difficult since. The
Mesenteric cyst is usually asymptomatic, but if
symptomatic, abdominal pain (82%), nausea and
vomiting (45%), constipation (27%) are the most
common presenting symptoms [2,3]. The clinical
finding of abdominal mass is encountered in more
than 61% of the patients [2,3]. As this condition is
very rare and its symptomatology can resemble
any other abdominal diseases, diagnosis is
extremely difficult and incorrect preoperative
diagnosis is often made. Hence, performing
physical examination and conducting radiological
investigations such as ultrasonography (USG)
and computed tomography (CT) are important
in making a correct diagnosis [2,3].