Abstract：
BACKGROUND: Mesenteric cysts are very rare abdominal growths, generally asymptomatic, and which are usually detected incidentally while performing a physical examination or an imaging test. Complications such as infections, haemorrhage, torsion, rupture, or bowel obstruction, are seldom found in this pathology, but they can be a cause of acute abdomen. The purpose of this report is to describe the characteristics and the clinical outcome of a male patient with an infected mesenteric pseudocyst of the jejunum.
METHODS: A 49 year-old male was admitted to the emergency department with 6-day onset of abdominal pain, bowel obstruction signs, palpable tumour located in the upper hemi-abdomen, systemic inflammatory response syndrome, 36,100/mm(3) white cells, 4.21 ng/ml procalcitonin, abdominal computed tomography scan with evidence of a mesenteric cystic tumour. An exploratory laparotomy was performed, finding the presence of a mesenteric pseudocyst of the jejunum with infection signs, extirpated and sent for histopathological examination. The clinical progress of the patient was satisfactory with the discharge of the patient 7 days after the surgical intervention.
CONCLUSIONS: These cysts can debut as an acute abdomen due to haemorrhage, infection, obstruction and/or bowel perforation, complications can be life threatening if not detected and surgically treated at an early stage by performing a resection of the pseudocysts, with or without bowel resection, depending on the location and the size of the cyst.
METHODS: A 49 year-old male was admitted to the emergency department with 6-day onset of abdominal pain, bowel obstruction signs, palpable tumour located in the upper hemi-abdomen, systemic inflammatory response syndrome, 36,100/mm(3) white cells, 4.21 ng/ml procalcitonin, abdominal computed tomography scan with evidence of a mesenteric cystic tumour. An exploratory laparotomy was performed, finding the presence of a mesenteric pseudocyst of the jejunum with infection signs, extirpated and sent for histopathological examination. The clinical progress of the patient was satisfactory with the discharge of the patient 7 days after the surgical intervention.
CONCLUSIONS: These cysts can debut as an acute abdomen due to haemorrhage, infection, obstruction and/or bowel perforation, complications can be life threatening if not detected and surgically treated at an early stage by performing a resection of the pseudocysts, with or without bowel resection, depending on the location and the size of the cyst.
摘要：
背景：肠系膜囊肿是非常罕见的腹部生长，一般无症状，通常在进行身体检查或成像测试时被偶然发现。并发症如感染，出血,扭转,破裂,或者肠梗阻,在这种病理学中很少发现，但它们可能是急腹症的原因。本报告的目的是描述患有空肠肠系膜假性囊肿感染的男性患者的特征和临床结果。
方法：一名49岁男性因腹痛发作6天进入急诊科，肠梗阻征象,可触及的肿瘤位于上半腹部，全身炎症反应综合征，36,100/mm(3)白细胞,4.21ng/ml降钙素原，腹部计算机断层扫描扫描显示肠系膜囊性肿瘤。进行了剖腹探查术，发现肠系膜假性空肠囊肿有感染迹象，切除并送去组织病理学检查。患者在手术干预后7天出院，患者的临床进展令人满意。
结论：由于出血，这些囊肿可以作为急腹症出现，感染,梗阻和/或肠穿孔，如果不在早期发现并通过切除假性囊肿进行手术治疗，并发症可能危及生命，不管有没有肠切除术，取决于囊肿的位置和大小。
方法：一名49岁男性因腹痛发作6天进入急诊科，肠梗阻征象,可触及的肿瘤位于上半腹部，全身炎症反应综合征，36,100/mm(3)白细胞,4.21ng/ml降钙素原，腹部计算机断层扫描扫描显示肠系膜囊性肿瘤。进行了剖腹探查术，发现肠系膜假性空肠囊肿有感染迹象，切除并送去组织病理学检查。患者在手术干预后7天出院，患者的临床进展令人满意。
结论：由于出血，这些囊肿可以作为急腹症出现，感染,梗阻和/或肠穿孔，如果不在早期发现并通过切除假性囊肿进行手术治疗，并发症可能危及生命，不管有没有肠切除术，取决于囊肿的位置和大小。
