TY - JOUR
AR - SCR-2020-9-113
TI - Small Bowel Mesenteric Pseudocysts: Report of a Case and Review of the Literature
AU - Beatrice , D'Orazio
AU - Bonventre , Sebastiano
AU - Martorana , Guido
AU - Cudia , Bianca
AU - Sciumé , Carmelo
AU - Gaetano , Di Vita
AU - Geraci , Girolamo
JO - Surgical Case Reports
PY - 2020
DA - Mon 21, Sep 2020
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2020.09.13
UR - https://www.sciencerepository.org/small-bowel-mesenteric-pseudocysts-report-of-a-case-and_SCR-2020-9-113 
KW - Mesenteric pseudocyst, surgery, laparoscopy, abdominal pain
AB - Background: Mesenteric pseudocyst (MP) are rare clinical entity presenting a thick fibrotic wall with internal septae without epithelial lining cells.
Case Report: We described one case of MP of a 50-year-old woman with persistent, non-specific, and non-responding to medical therapy abdominal pain. Laboratory tests, clinical examination and the abdominal US were un-conclusive while the CT scan of the abdomen showed a cystic lesion of the jejunal mesentery. We performed a laparoscopic surgical excision of the lesion with the resolution of clinical symptoms. The lesion resulted in inflammatory mesenteric cyst at the histological examination. At 5 years CT scan follow up we did not record any recurrences.
Conclusion: MP present themselves without specific symptoms, diagnostic imaging techniques such as US or CT scan may define its features, location or size but fail in determining their benign or malign nature. In fact, even if, the majority of these lesions are benign, a rate of malign transformation of around 3% has been reported, which is why the complete surgical excision is the gold standard treatment.