Mesenteric Pseudocyst Following Blunt Abdominal Trauma: Report of a Case and Review of Literature
Journal
Journal of Surgery and Research
Date Issued
2022-10
Author(s)
Gjinoska, Kaludia
Bajdevska Dukovska, Daniela
Alimi, Agron
DOI
10.26502/jsr.10020258
Abstract
Mesenteric pseudocysts are rare intraabdominal lesions. A total of 29
similar case reports were retrieved via the Medline/PubMed search engine.
They represent a subtype of mesenteric cysts displaying histological
similarity to pancreatic pseudocysts which are usually surrounded
by a thick fibrous wall without an inner epithelial lining. Mesenteric
pseudocysts may present as any other expanding intraabdominal lesion.
Accurate preoperative characterization of mesenteric cystic lesions
remains challenging. Imaging diagnostics for most of the cases involve
both ultrasound and computerized tomography. It is unclear whether
routine MRI use would increase preoperative diagnostic accuracy and
aid in preoperative planning. Total surgical excision of the pseudocyst
has been the treatment of choice. Surgical removal has been achieved by
means of open surgery, laparoscopy and the robotic system. It remains
unclear to this date whether other treatment approaches are feasible. Other
options such as debridement, marsupialization or partial excision have
been considered inadequate due to concerns such as the possibility of
malignant cell seeding, septic complications and risk of recurrence. We
present the case of a posttraumatic mesenteric pseudocyst following blunt
abdominal trauma in a 27 year old female, treated by surgical excision
similar case reports were retrieved via the Medline/PubMed search engine.
They represent a subtype of mesenteric cysts displaying histological
similarity to pancreatic pseudocysts which are usually surrounded
by a thick fibrous wall without an inner epithelial lining. Mesenteric
pseudocysts may present as any other expanding intraabdominal lesion.
Accurate preoperative characterization of mesenteric cystic lesions
remains challenging. Imaging diagnostics for most of the cases involve
both ultrasound and computerized tomography. It is unclear whether
routine MRI use would increase preoperative diagnostic accuracy and
aid in preoperative planning. Total surgical excision of the pseudocyst
has been the treatment of choice. Surgical removal has been achieved by
means of open surgery, laparoscopy and the robotic system. It remains
unclear to this date whether other treatment approaches are feasible. Other
options such as debridement, marsupialization or partial excision have
been considered inadequate due to concerns such as the possibility of
malignant cell seeding, septic complications and risk of recurrence. We
present the case of a posttraumatic mesenteric pseudocyst following blunt
abdominal trauma in a 27 year old female, treated by surgical excision
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