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ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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REGINA, Leandro Tibúrcio; BOLINA, Gustavo Mariani; ALBERTI, Luiz Ronaldo  and  PETROIANU, Andy. Mesenteric chylous cyst treatment. ABCD, arq. bras. cir. dig. [online]. 2010, vol.23, n.2, pp.138-140. ISSN 0102-6720.

INTRODUCTION: Mesenteric cysts are rare abdominal tumors that may occur in patients at any age and are more common in women at the age of forty. They are generally free of symptoms and incidentally found. The treatment is based on cyst ressection, by laparotomy or laparoscopy, although the enterectomy may be necessary. The prognosis is usually good and the recurrence is rare. CASE REPORT: Women 40 years of age, obese, hypertensive and diabetic, had a history of continuous abdominal pain of low intensity in the left hypochondrium and epigastrium, without irradiation, for about three months. After a month of onset of symptoms noticed a mass in the upper abdomen palpable from the epigastrium to the left flank with a hard consistency, little mobility, smooth surface and painful. Computed tomography of the abdomen showed cystic formation with thin smooth wall, measuring 12.9 x 11.6 x 9.9 cm, located on the left flank in the mesenteric region, displacing adjacent structures, suggestive of mesenteric cyst. At laparotomy a cystic mass was found, with approximately 10 cm in diameter, yellowish, with tortuous vessels on the surface, without adherence to adjacent structures, located in mesojejunum about 50 cm from the duodenojejunal flexure. The cyst was completely removed and its content was whitish and odorless liquid, suggesting a chylo. Pathology revealed benign mesothelial mesenteric cyst. CONCLUSION: - The treatment of these cysts consists basically of their withdrawal or decapsulization, which can preferably be achieved by laparoscopy.

Keywords : Mesenteric Cyst; Surgery; Therapeutics.

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