Muhammad Danial Khan , Iqra Nawaz , Arooba Niazi , Adil Mahmood
{"title":"肠系膜囊肿罕见地表现为顽固性腹水:病例报告","authors":"Muhammad Danial Khan , Iqra Nawaz , Arooba Niazi , Adil Mahmood","doi":"10.1016/j.surge.2023.11.013","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p><span>Mesenteric cysts have been typically described as cystic lesions of </span>mesentery<span> or omentum<span> occurring either intra-abdominally or in the retroperitoneum<span>. With no typical symptoms, the preoperative diagnosis of mesenteric cyst becomes challenging to establish.</span></span></span></p></div><div><h3>Patient and methods</h3><p><span><span>In this case report, we describe the case of a 29-year-old female who presented with abdominal distension for seven years associated with intermittent constipation. Following complete history, a meticulous physical examination was performed. Laboratory investigations and radiological </span>imaging techniques were used to facilitate the diagnosis which was confirmed on </span>laparotomy.</p></div><div><h3>Results</h3><p><span>Physical examination revealed abdominal ascites<span><span><span>. Laboratory investigations were unremarkable. Abdominal ultrasound revealed multiloculated massive ascites. A well-defined cystic area 27 × 18cm displacing abdominal viscera<span> was observed on computed tomography (abdomen and pelvis) with contrast medium. </span></span>Exploratory laparotomy revealed a massive cyst involving almost the entire </span>peritoneal cavity<span>. On histopathology, no signs of </span></span></span>malignancy were reported. The post-operative course was excellent, and the patient was discharged following surgery.</p></div><div><h3>Conclusion</h3><p>As this lesion is rarely considered preoperatively, and the clinical manifestations can be non-specific, we report this case of mesenteric cyst mimicking ascites in order to inform improved decision making among healthcare professionals regarding the timely diagnosis and appropriate management.</p></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A rare presentation of mesenteric cyst as persistent ascites: A case report\",\"authors\":\"Muhammad Danial Khan , Iqra Nawaz , Arooba Niazi , Adil Mahmood\",\"doi\":\"10.1016/j.surge.2023.11.013\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p><span>Mesenteric cysts have been typically described as cystic lesions of </span>mesentery<span> or omentum<span> occurring either intra-abdominally or in the retroperitoneum<span>. With no typical symptoms, the preoperative diagnosis of mesenteric cyst becomes challenging to establish.</span></span></span></p></div><div><h3>Patient and methods</h3><p><span><span>In this case report, we describe the case of a 29-year-old female who presented with abdominal distension for seven years associated with intermittent constipation. Following complete history, a meticulous physical examination was performed. Laboratory investigations and radiological </span>imaging techniques were used to facilitate the diagnosis which was confirmed on </span>laparotomy.</p></div><div><h3>Results</h3><p><span>Physical examination revealed abdominal ascites<span><span><span>. Laboratory investigations were unremarkable. Abdominal ultrasound revealed multiloculated massive ascites. A well-defined cystic area 27 × 18cm displacing abdominal viscera<span> was observed on computed tomography (abdomen and pelvis) with contrast medium. </span></span>Exploratory laparotomy revealed a massive cyst involving almost the entire </span>peritoneal cavity<span>. On histopathology, no signs of </span></span></span>malignancy were reported. The post-operative course was excellent, and the patient was discharged following surgery.</p></div><div><h3>Conclusion</h3><p>As this lesion is rarely considered preoperatively, and the clinical manifestations can be non-specific, we report this case of mesenteric cyst mimicking ascites in order to inform improved decision making among healthcare professionals regarding the timely diagnosis and appropriate management.</p></div>\",\"PeriodicalId\":49463,\"journal\":{\"name\":\"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2023-12-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1479666X23001506\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1479666X23001506","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
A rare presentation of mesenteric cyst as persistent ascites: A case report
Background
Mesenteric cysts have been typically described as cystic lesions of mesentery or omentum occurring either intra-abdominally or in the retroperitoneum. With no typical symptoms, the preoperative diagnosis of mesenteric cyst becomes challenging to establish.
Patient and methods
In this case report, we describe the case of a 29-year-old female who presented with abdominal distension for seven years associated with intermittent constipation. Following complete history, a meticulous physical examination was performed. Laboratory investigations and radiological imaging techniques were used to facilitate the diagnosis which was confirmed on laparotomy.
Results
Physical examination revealed abdominal ascites. Laboratory investigations were unremarkable. Abdominal ultrasound revealed multiloculated massive ascites. A well-defined cystic area 27 × 18cm displacing abdominal viscera was observed on computed tomography (abdomen and pelvis) with contrast medium. Exploratory laparotomy revealed a massive cyst involving almost the entire peritoneal cavity. On histopathology, no signs of malignancy were reported. The post-operative course was excellent, and the patient was discharged following surgery.
Conclusion
As this lesion is rarely considered preoperatively, and the clinical manifestations can be non-specific, we report this case of mesenteric cyst mimicking ascites in order to inform improved decision making among healthcare professionals regarding the timely diagnosis and appropriate management.
期刊介绍:
Since its establishment in 2003, The Surgeon has established itself as one of the leading multidisciplinary surgical titles, both in print and online. The Surgeon is published for the worldwide surgical and dental communities. The goal of the Journal is to achieve wider national and international recognition, through a commitment to excellence in original research. In addition, both Colleges see the Journal as an important educational service, and consequently there is a particular focus on post-graduate development. Much of our educational role will continue to be achieved through publishing expanded review articles by leaders in their field.
Articles in related areas to surgery and dentistry, such as healthcare management and education, are also welcomed. We aim to educate, entertain, give insight into new surgical techniques and technology, and provide a forum for debate and discussion.