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Images in Clinical Medicine

Mesenteric Cyst

Diane M. Simeone, M.D., and Thomas Pranikoff, M.D.

N Engl J Med 1999; 341:659August 26, 1999

Article

Figure 1 Abdominal examination of a 37-year-old woman with a week-long history of nausea and vomiting revealed only midabdominal fullness. An upper gastrointestinal series revealed proximal dilatation of the duodenum, with a high-grade obstruction in the distal portion (arrow in Panel A). A computed tomographic scan demonstrated a large, well-defined mass in the midabdomen, possibly arising from the mesentery, with mild effacement of adjacent small-bowel loops (arrow in Panel B). We considered a mesenteric cyst, omental cyst, intestinal duplication, cystic degeneration of a solid tumor, and nonpancreatic pseudocyst as possible causes of the mass. At surgery, a 9-by-6-cm mesenteric cyst (arrow in Panel C) was resected that arose from the proximal jejunum, and a primary reanastomosis was performed. The patient had an uncomplicated postoperative course and was well one year later.

Diane M. Simeone, M.D.
University of Michigan, Ann Arbor, MI 48109-0331

Thomas Pranikoff, M.D.
Bowman Gray Medical Center, Winston-Salem, NC 27157

Citing Articles (2)

Citing Articles

  1. 1

    Athanasios Protopapas, Dimitrios Papadopoulos, Alexandros Rodolakis, Sophia Markaki, Aris Antsaklis. (2005) Mesenteric lymphangioma presenting as adnexal torsion: Case report and literature review. Journal of Clinical Ultrasound 33:2, 90-93
    CrossRef

  2. 2

    Mustafa Okumuş, Tansu Salman, Nezahat Gürler, Nuran Salman, Latif Abbasoğlu. (2004) Mesenteric cyst infected with non-typhoidal salmonella infection. Pediatric Surgery International 20:11-12, 883-885
    CrossRef