Nadir Bir Akut Batın Nedeni: Mezenter Kist Torsiyonu

Mezenter kistleri daha çok çocukluk yaş grubunda nadir görülen kistlerdir. Kendilerine özgü klinik ve radyolojik bulguları yoktur. Bu nedenle tanıları zordur. Genellikle karında şişkinlik, ağrı ve karında asimetrik, simetrik büyümeye ile görülürler. Kistlerin ancak %2 sinde malignite tespit edilir. Tedavisi cerrahidir ve kistin eksizyonunu kapsar.

A Rare Cause of Acute Abdomen: Mesenteric Cyst Torsion

Mesenteric cysts are seen rarely and most of them are seen in the childhood period. The lack of characteristic clinicalfeatures and radiological signs may present great diagnostic difficulties. The cyst may present with diffuse abdominalswelling, abdominal pain or abdominal mass. Malignant cysts occur in less than 2% cases. Surgery is the treatment ofchoice.

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  • Vanet VW, Philips AK. Retroperitoneal,mesenteric and Omental cysts.Arch surg 1984,199:838-42.
  • Chou Yh, Tiu CM, Lui WY, Chang T.Mesenteric and omental cysts:An ultrasonographic and clinical study of 15 patients. Gastrointest Radiol 1991, 16:311-4.
  • Liew SCC,Gleen DC, Storey DW. Mesenteric cyst. Aust NZ J Surg 1994, 64:741-4.
  • Ros PR, Olmsted WW, Moser RP,et al. Mesenteric and omental cysts. Histological classification with imaging correlation. Radiology 1987,164:327-32.
  • A. Casarotto, A. Cerofolini, F. Denitto, et al., Mesenteric cyst: case report and review of the literature, G. Chir. 31 (2010) 239e242.
  • B.N. Wani, S.N. Jajoo, K.B. Golhar, A.M. Bhole, Mesenteric cyst causing acute intestinal obstruction: a rare occurrence, Trop. Gastroenterol. 32 (2011) 246e248.
  • P.R. Ros, W.W. Olmsted, R.P. Moser Jr., A.H. Dachman, B.H. Hjermstad, L.H. Sobin, Mesenteric and omental cysts: histologic classification with imaging correlation, Radiology 164 (1987) 327e332.
  • C. Rispoli, N. Rocco, L. Iannone, B. Amato, Developing guidelines in geriatric surgery: role of the grade system, BMC Geriatr. 9 (Suppl. 1) (2009) A99
  • Kurtz Robert J [1] , Heimann Tomas M, Robert BA, James H. Mesenteric and retroperitoneal cysts. Ann Surg. 1986;203:109-12
  • Richard R.R. Mesenteric and omental cysts. In: Grosfeld J.L., O'Neill J.A. Jr., Coran A.G., Fonkalsrud E.W., editors. Pediatric Surgery. 6th ed. Mosby Elsevier; Philadelphia: 2006. pp. 1399–1406.
  • Chung MA,Brant ML,St-Vil D,Yazbeck S.Mesenteric cysts in children. J Pediatr Surg 1991:26:1306-8.