Barbu Laurențiu Augustus, Mărgăritescu Nicolae-Dragoș, Cercelaru Liliana, Vîlcea Ionică-Daniel, Șurlin Valeriu, Mogoantă Stelian-Stefaniță, Mogoș Gabriel Florin Răzvan, Țenea Cojan Tiberiu Stefăniță, Vasile Liviu
Department of Surgery, Railway Clinical Hospital Craiova, University of Medicine and Pharmacy of Craiova, 2 Petru Rares Street, 200349 Craiova, Romania.
Department of Surgery, Emergency County Hospital, University of Medicine and Pharmacy of Craiova, 2 Petru Rares Street, 200349 Craiova, Romania.
J Clin Med. 2025 Jul 10;14(14):4888. doi: 10.3390/jcm14144888.
: Abdominal tumors can trigger acute, life-threatening complications, needing urgent care. Though often slow-growing, they may present suddenly with obstruction, bleeding, or organ compression. This article explores diagnostic challenges in such emergencies and presents a rare case of a giant mesenteric cyst. : A PubMed search was conducted to review abdominal tumors in emergencies, focusing on mesenteric cysts. : A 37-year-old woman with no significant history presented with two weeks of diffuse abdominal pain and distension. Labs showed mild inflammation and low malignancy risk. Imaging revealed a large cystic mass compressing abdominal organs. Surgery found a 35 × 15 cm cyst from the mesenteric root extending into the pelvis and behind the stomach. : Mesenteric cysts are rare with vague symptoms, needing high suspicion for diagnosis. Imaging helps, but large cysts often require surgery. Complete removal prevents recurrence, and bowel resection may be needed if vital structures are involved. Careful planning, teamwork, and follow-up ensure success.
腹部肿瘤可引发急性、危及生命的并发症，需要紧急治疗。尽管它们通常生长缓慢，但可能会突然出现梗阻、出血或器官受压的情况。本文探讨了此类紧急情况中的诊断挑战，并介绍了一例罕见的巨大肠系膜囊肿病例。：通过PubMed搜索来回顾紧急情况下的腹部肿瘤，重点关注肠系膜囊肿。：一名无重大病史的37岁女性出现了两周的弥漫性腹痛和腹胀。实验室检查显示有轻度炎症，恶性风险较低。影像学检查发现一个巨大的囊性肿块压迫腹部器官。手术发现一个从肠系膜根部延伸至盆腔并位于胃后方的35×15厘米的囊肿。：肠系膜囊肿罕见，症状不明确，诊断需要高度怀疑。影像学检查有帮助，但大囊肿通常需要手术。完整切除可防止复发，如果涉及重要结构可能需要进行肠切除术。精心规划、团队协作和随访可确保成功。
