Lucandri Giorgio, Fiori Giulia, Lucchese Sara, Genualdo Flaminia, Pende Vito, Farina Massimo, Mazzocchi Paolo, Santoro Emanuele
Department of Surgery, San Giovanni-Addolorata Hospital, Rome, Italy.
J Surg Case Rep. 2022 Sep 9;2022(9):rjac397. doi: 10.1093/jscr/rjac397. eCollection 2022 Sep.
Mesenteric cysts are uncommon benign abdominal tumors that may extend from the root of the mesenteric layers of the gastrointestinal tract into the retroperitoneum or the peritoneal cavity; they are usually asymptomatic and often represent an occasional finding. Definitive diagnosis is confirmed by the surgical intraoperative view and by histopathological examination. Surgical excision of the cyst is the treatment of choice. We present a case of a female patient who presented with back pain and a palpable abdominal mass. Due to large size of the mass and its contiguity with midline, patient underwent an hybrid combined surgical technique, with a first open phase followed by a laparoscopic excision. Complete surgical removal of the cyst was successfully performed without bowel resection, intraoperative spillage of cystic content and without morbidity. Histopathology confirmed diagnosis of simple mesenteric cyst. We strongly recommend a combined approach whenever a large intraperitoneal benign cystic lesion has been diagnosed.
肠系膜囊肿是罕见的腹部良性肿瘤，可从胃肠道肠系膜层根部延伸至腹膜后或腹腔；它们通常无症状，常为偶然发现。通过手术中所见及组织病理学检查确诊。手术切除囊肿是首选治疗方法。我们报告一例女性患者，表现为背痛和可触及的腹部肿块。由于肿块较大且与中线相邻，患者接受了一种混合联合手术技术，首先是开放手术阶段，随后是腹腔镜切除。成功地完整切除了囊肿，未进行肠切除，术中囊肿内容物未溢出，且无并发症。组织病理学确诊为单纯肠系膜囊肿。我们强烈建议，一旦诊断出大型腹腔内良性囊性病变，应采用联合手术方法。
