A 23 year old female has abdominal lump that is movable and painless. On exploratory laparotomy, a cystic lump is found arising from mesentery which has no lymphatic supply but has independent blood supply. What is the probable diagnosis?
Correct Answer: Chylomyphatic mesenteric cyst
Description: Mesenteric Cyst More common in females Usually seen in 2nd decade. CHYLOLYMPHATIC MESENTERIC CYST ENTEROGENOUS MESENTERIC CYST Congenitally misplaced lymphatics in ileum with Afferent lymphatics only. No efferent lymphatics | The chyle will collect | Progressive increase in size of cyst independent blood supply to cyst Treatment Enucleation Duplication cysts (walled off diveicula) Origin is from diveicula / duplication SI lined by columnar epithelium, which has goblet cells that produce mucin. Collected mucin leads to cyst | Enterogenous cysts Content is mucinous(shared wall & shared vascular supply) Treatment Resection + anastomosis
Category:
Surgery
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