Mesentaric Cyst Presenting as Gynaecological Tumour Resource-Poor Environment

Abstract

Background: Mesenteric cysts are rare intra-abdominal masses. These tumors are usually histologically benign cysts located in the mesentery and lined by endothelial cells1. These cysts may occur in every part of the mesentery, from the duodenum to the rectum3 and are often considered to have same embryological origin3. They are mostly asymptomatic; however unspecific symptoms are associated with some physical findings of palpable, partly movable, and painless abdominal mass. Diagnosis is mostly done with radiologic imaging. But for a resource-poor setting, diagnosis is done on operation table. Objectives: To draw the attention of both Gynecologist and General Surgeons to the possibility of mesenteric cyst presenting as gynecological tumors. Case Report: we found a 33-year-old lady presenting with two years history of recurrent lower abdominal pain and abdominal swelling no change in bowel habit, no weight loss, no fever, cough, contact with chronic coughing patient, the pregnancy test was negative, the review of other symptoms were essentially. She was examined to have a 25-cm-sized mass in the lower abdomen. It was firm and not mobile. Abdominopelvic ultrasound was in conformity with right ovarian tumor. Blood works include a full blood count and white blood cell count. Liver function tests and urinalysis were within normal limits. Intraoperative findings were those of a single mesenteric cyst related to the small bowel with chylous content adhesions, normal ovaries and other adnexa, normal liver, bowel, and no ascites. The Sample was sent for histology. Patient was followed up for two years. Conclusion: Mesenteric cysts are uncommon abdominal masses that sonographically mimics Ovarian tumors. Intra-Operative finding is the reliable diagnostic major in a poor resource setting.