Year: 1991
Type: article
Abstract: Adult type mesenteric cysts are rare. We experienced 2 mature cases. One was a 50-year-old male with a cyst of unknown origin in the mesocolon of the ascending colon. The other was a 40-year-female with a cyst of lymphogenic origin in the mesenterium of jejunum. Based on investigation of 21 cases including our 2 cases, most cases present between is 20 and 40 years of age. Five patients were above 60 years, the oldest case being an 81-years-old female.The contents of the cyst were chyme in 12, serous fluid in 5, no record in 4, monocystic in 9 and polycystic in 5. The pathology of the cystic wall was classified as 1) epithelial cell with smooth muscle layer (9) 2) only epithelial cell (1) 3) only smooth muscle (1) 4) connective tissue (4), and 5) no pathological report (5).In most cases, the cyst had originated from lymphogenic tissue. The pathology, of the cystic wall is important for determining its genesis. However, in some cases it cannot be determined because of sloughing of the epithelial cells.In such cases, biochemical analysis is necessary to determine the genesis.If it achieved, detailed re-examination with US and CT is useful for determining etiology in same patients such as our female case.
Source: Kitakantou igaku/Kitakantō Igaku
Institutions: Gunma University, Gunma University Hospital
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2312759043