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Sunday 23 June 2013

Mesenteric Cyst

Mesenteric Cyst



Mesenteric Cyst

                 
 Mesenteric Cysts are cysts arising from the mesentery.
Types of Mesenteric cysts:-
1.     Chylo lymphatic cyst ( Commonest )
2.     Enterogenous cyst
3.     Urogenital Remnant
4.     Teratomatous Dermoid Cyst (Least common)
Commonest age group- Second decades of Life
What is the characteristic clinical feature of a Mesenteric Cyst?
Painless cystic intra abdominal swelling in the umbilical region which moves freely in a plane perpendicular to the line of attachment of root of mesentery.
Differential Diagnosis
Omental cyst/ Ovarian cyst
Complications
  • Torsion
  • Rupture
  • Infection
  • Hemorrhage into the cyst
What is the difference in Blood supply of a Chylo lymphatic cyst and an Enterogenous cyst?
Blood supply of a Chylo lymphatic cyst is independent of the adjacent intestine.Hence simple excision is possible.
But Enterogenous cyst derives its blood supply in common with the adjacent potion of the intestine.
Hence surgical removal of an enterogenous cyst entails the resection of the related segment of the intestine.
                        

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