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A Rare Encounter Clinical Insights into Mesenteric Cysts in a Middle Aged Woman

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by

Vishnu
in

Introduction

Mesenteric cysts are rare, benign abdominal tumors often discovered incidentally due to their vague clinical symptoms. With an incidence of just 1 in 250,000 hospital admissions, they pose diagnostic challenges, especially in adult women. This blog explores a compelling case of a 51-year-old woman diagnosed with a multilocular mesenteric cyst and managed successfully through surgical excision.
Visit https://www.obstetricgynecoljournal.com for more groundbreaking research in gynecology and women’s health.

Key Clinical Finding

  • Patient Presentation:
    A 51-year-old woman presented with abdominal heaviness and abnormal vaginal bleeding. She had a history of endometrial polyps and was undergoing diagnostic investigations for over a year.
  • Imaging Results:
    • Ultrasound: Revealed a retroverted uterus with features of adenomyosis and a multilocular cyst near the uterus with internal echoes and calcification.
    • CT Scan: Confirmed a 60×67 mm multilocular cyst separated from the ovaries and suggested a mesenteric origin.
  • Surgical Management:
    • Laparotomy revealed a fibromatous mass adherent to the small intestine mesothelium.
    • The mass was excised without bleeding at the attachment sites.
    • Pathology showed fibrohyalinized tissue with lymphangiectasis, calcification, and cholesterol cleft formation.

Diagnostic & Therapeutic Insights

  • Challenges in Preoperative Diagnosis:
    • Symptoms like pain and bloating were nonspecific.
    • Laboratory values, including tumor markers and coagulation profiles, were within normal limits.
    • Diagnosis depended heavily on imaging and intraoperative findings.
  • Treatment Approach:
    Complete surgical excision remains the gold standard to avoid recurrence and potential complications such as hemorrhagic shock or intestinal obstruction.

Clinical Significance & Broader Implications

According to the American College of Gastroenterology (ACG), the importance of accurate diagnosis and surgical planning in managing rare intra-abdominal cysts is critical for patient safety and improved outcomes. This case reinforces the need for heightened clinical suspicion and multidisciplinary collaboration when facing rare cystic pathologies in gynecological practice.

Further Reading and Resources

A detailed account of this case can be found in the full journal article:
https://doi.org/10.29328/journal.cjog.1001024

Explore related case studies and gynecological insights at https://www.obstetricgynecoljournal.com

Call-to-Action

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Disclaimer: This content is generated using AI assistance and should be reviewed for accuracy and compliance before considering this article and its contents as a reference. Any mishaps or grievances raised due to the reusing of this material will not be handled by the author of this article

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