Asian Journal of Case Reports in Surgery

A Case Report of Huge Mesenteric Cyst in a Woman of Reproductive Age with Lessons of Interest

P. O. Dienye

Department of Family Medicine, Rivers State University / Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

A. J. Alex-Hart

Department of Surgery, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

N. P. Dienye

Department of Family Medicine, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

I. E. Ojoko-Amungo

Department of Obstetrics and Gynaecology, Maternal and Child Hospital, Bisha, Asir, Saudi Arabia.

C. Mbaba

Department of Anaesthesiology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

A. Dan-Jumbo

Department of Family Medicine, Rivers State University / Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

S. S. Uriah *

Department of Family Medicine, Rivers State University / Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

N. Alazigha

Department of Radiology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

*Author to whom correspondence should be addressed.

---

Abstract

A mesenteric cyst is an uncommon, mainly benign, intra-abdominal tumor. Treatment is surgical, consisting of excision of the cyst and involved organs to prevent possible recurrence. We report the case of a 42-year-old woman with gradually increasing abdominal distension and a Computed Tomography scan diagnosis of left complex cystic ovarian mass. Her spirituality was a set back to her health seeking behaviour. An exploratory laparotomy was performed and a mesenteric cyst was found. This was removed in addition to a segment of the ileum which was resected and anastomosed. Her recovery was uneventful. A histopathology report confirmed the diagnosis of benign mesenteric cyst.

Keywords: Mesenteric cyst, abdominal pain, radiology, spiritual healers

---

---

---

References

De Perrot M, Bründler M, Tötsch M, Mentha G, Morel P. Mesenteric cysts. Toward less confusion? Dig Surg. 2000;17(4):323-8. Available:https://doi.org/10.1159/000018872

Paramythiotis D, Bangeas P, Karakatsanis A, Iliadis A, Karayannopoulou G, Michalopoulos A. Ideal treatment strategy for chylous mesenteric cyst- a case report. J. Med. Case Rep. 2018;12(1). DOI: 10.1186/s13256-018-1716-x

Saviano MS, Fundarò S, Gelmini R, Begossi G, Perrone S, Farinetti A, Criscuolo M. Mesenteric cystic neoformation: Report of two cases. Surg Today. 1999;29(2):174–177.

Spolianski G, Kopelman D, Kimmel B, Hatoum OA. Laparoscopic exploration and treatment for a mesenteric cyst lymphangioma in adults. ANZ J Surg. 2019;89(10):1334-1336.

Pithawa AK, Bansal AS, Kochar SP. Mesenteric cyst: A rare intra-abdominal tumour. Med J Armed Forces India. 2014;70(1):79-82.

Ünlüer EE, Ünlüer S, Şahı N Y, Kamer KE, Karagöz A, Tan GC. An uncommon cause of abdominal pain: Mesenteric cyst. Interv Med Appl Sci. 2016;8(1):23-25.

Paramythiotis D, Bangeas P, Karakatsanis A, Iliadis A, Karayannopoulou G, Michalopoulos A. Ideal treatment strategy for chylous mesenteric cyst: A case report. J Med Case Rep. 2018;12(1):317.

Oh C, Danese CA, Dreiling DA. Chylous cysts of mesentery. Arch Surg. 1967;94(6): 790-3.

Lee DL, Madhuvrata P, Reed MW, Balasubramanian SP. Chylous mesenteric cyst: A diagnostic dilemma. Asian J Surg. 2016;39(3):182-6.

Alborzi S, Rasekhi A, Shomali Z, Madadi G, Alborzi M, Kazemi M, et al. Diagnostic accuracy of magnetic resonance imaging, transvaginal, and transrectal ultrasonography in deep infiltrating endometriosis. Medicine (Baltimore). 2018; 97(8):e9536.

Tan JJ, Tan KK, Chew SP. Mesenteric cysts: An institution experience over 14 years and review of literature. World J Surg. 2009;33(9):1961-5.

Kisenyi RN, Muliira JK, Ayebare E. Religiosity and adherence to antiretroviral therapy among patients attending a public hospital-based HIV/ AIDS clinic in Uganda. J Relig Health. 2013;52(1):307-17.

Parsons SK, Cruise PL, Davenport WM, Jones V. Religious beliefs, practices and treatment adherence among individuals with HIV in the southern United States. AIDS Patient Care STDS. 2006;20(2):97-111.

Vyas KJ, Limneos J, Qin H, Mathews WC. Assessing baseline religious practices and beliefs to predict adherence to highly active antiretroviral therapy among HIV-infected persons. AIDS Care. 2014;26(8): 983-87.

Daniel O, Oladapo O, Ogundahunsi O, Ogundahunsi S, Ogun S, et al. Default from anti-retroviral treatment programme in Sagamu, Nigeria. Afr J Biomed Res. 2008; 11(2):221-24.

Lyon ME, Garvie PA, Kao E, Briggs L, He J, et al. Spirituality in HIV-infected adolescents and their families: FAmily CEntered (FACE) advance care planning and medication adherence. J Adolesc Health. 2011;48(6):633-36.

Caulfield A, Plymoth A, Nartey YA, Mölsted-Alvesson H. The 6-star doctor? Physicians' communication of poor prognosis to patients and their families in Cape Coast, Ghana. BMJ Glob Health. 2020;5(6):e002334.

DOI: 10.1136/bmjgh-2020-002334

Sajja A, Puchalski C. Training physicians as healers. AMA J Ethics. 2018;20(7): E655-663. DOI: 10.1001/amaj ethics.2018.665