Laparoscopic excision of mesenteric cyst of sigmoid mesocolon

Abstract

Mesenteric cysts are rare abdominal tumours. They are found in the mesentery of small bowel (66%) and mesentery of large intestine (33%), usually in the right colon. Very few cases have been reported of tumours found in mesentery of descending colon, sigmoid or rectum. Mesenteric cysts do not show classical clinical findings and are detected incidentally during imaging due to absent or non-specific clinical presentation or during management of one of their complications. Ultrasonography (USG)/computed tomography (CT)/ magnetic resonance imaging (MRI) are used in diagnosing mesenteric cyst but they cannot determine the origin of cyst. Laparoscopy not only helps in diagnosing the site and origin of the mesenteric cyst but also has a therapeutic role. Laparoscopic treatment of mesenteric cyst is a safe, preferred method of treatment and is a less-invasive surgical technique. Here, we present an unusual case of mesenteric cyst arising from the sigmoid mesocolon treated by laparoscopic excision.

Keywords: Benign; laparoscopy; mesenteric cyst; mesocolon; sigmoid.

Figure 1

Arrow- Computed tomography shows well-defined cystic lesion of size 5 × 6 cm, posterior and superior to the bladder

Figure 2

Arrow- Mesenteric cyst arising from mesentery of sigmoid mesocolon. Arrow head- Sigmoid colon