Laparoscopic mesenteric cyst removal in an adult female: A novel approach combined with cholecystectomy

Eric D Rideman, DO, Jonathan Nguyen, DO, Linda Szczurek, DO, Adeshola Fakulujo, MD, Eric Gullbrand, MS


Mesenteric cysts are a rare intra-abdominal pathological condition. These cysts tend to present mainly in the paediatric population during the first decade of life or have a preponderance for adult females during the fifth decade of life. Literature review reports less than 1000 cases of mesenteric cysts, and most are discovered at autopsy. Treatment of choice depends on cyst invasion of surrounding structures and mostly centers around open surgical excision en bloc or enucleation. We present a 46 year old female with one month of worsening epigastic discomfort. Imaging studies were performed consisting of MRI and CT scan which showed large gallstones and a 7.8 x 5.0 cm uniformly lobulated mass of the small bowel mesentery. Laparoscopic cholecystectomy and mesenteric cyst excision were successfully performed in a single operation returning the pathologic findings of chronic cholecystitis and benign mesothelial lined cyst.

Session: Poster Presentation

Program Number: P489

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