Journal of Gastric Cancer

The Korean Gastric Cancer Association (대한위암학회)
권호 표지
DOI QR코드

DOI QR Code

Mesenteric Pseudocyst of the Small Bowel in Gastric Cancer Patient: A Case Report

  • Lee, Sang-Eok (Department of Surgery, Konyang University College of Medicine) ;
  • Choi, In-Seok (Department of Surgery, Konyang University College of Medicine) ;
  • Choi, Won-Jun (Department of Surgery, Konyang University College of Medicine) ;
  • Yoon, Dae-Sung (Department of Surgery, Konyang University College of Medicine) ;
  • Moon, Ju-Ik (Department of Surgery, Konyang University College of Medicine) ;
  • Ra, Yu-Mi (Department of Surgery, Konyang University College of Medicine) ;
  • Min, Hyun-Sik (Department of Surgery, Konyang University College of Medicine) ;
  • Kim, Yong-Seok (Division of Gastroenterology and Hepatology, Konyang University College of Medicine) ;
  • Kim, Sun-Moon (Division of Gastroenterology and Hepatology, Konyang University College of Medicine) ;
  • Sohn, Jang-Sihn (Department of Pathology, Konyang University College of Medicine) ;
  • Lee, Bong-Soo (Sokpyunhan Internal Medicine Clinic)
  • Received : 2012.02.02
  • Accepted : 2012.03.07
  • Published : 2012.03.30
Download PDF
⟨ Previous Next ⟩

Abstract

Mesenteric pseudocyst is rare. This term is used to describe the abdominal cystic mass, without the origin of abdominal organ. We presented a case of mesenteric pseudocyst of the small bowel in a 70-year-old man. Esophago-gastro-duodenoscopy showed a 3.5 cm sized excavated lesion on the posterior wall of angle. Endocopic biopsy confirmed a histologic diagnosis of the poorly differentiated adenocarcinoma, which includes the signet ring cell component. Abdominal computed tomography scan showed a focal mucosal enhancement in the posterior wall of angle of the stomach, a 2.4 cm sized enhancing mass on the distal small bowel loop, without distant metastases or ascites in rectal shelf, and multiple gallbladder stones. The patient underwent subtotal gastrectomy with gastroduodenostomy, segmental resection of the small bowel, and cholecystectomy. The final pathological diagnosis was mesenteric pseudocyst. This is the first case report describing incidentally detected mesenteric pseudocyst of the small bowel in gastric cancer patients.

Keywords

References

  1. Gallego JC, Gonzalez JM, Fernandez-Virgos A, del Castillo M. Retrorectal mesenteric cyst (non-pancreatic pseudocyst) in adult. Eur J Radiol 1996;23:135-137. https://doi.org/10.1016/0720-048X(96)01024-8
  2. Ros PR, Olmsted WW, Moser RP Jr, Dachman AH, Hjermstad BH, Sobin LH. Mesenteric and omental cysts: histologic classification with imaging correlation. Radiology 1987;164:327-332.
  3. Kurtz RJ, Heimann TM, Holt J, Beck AR. Mesenteric and retroperitoneal cysts. Ann Surg 1986;203:109-112. https://doi.org/10.1097/00000658-198601000-00017
  4. Iida T, Suenaga M, Takeuchi Y, Kobayashi T, Tobinaga J, Sakai M, et al. Mesenteric pseudocyst of the sigmoid colon. J Gastroenterol 2003;38:1081-1085. https://doi.org/10.1007/s00535-003-1200-1
  5. Fan HL, Chen TW, Hong ZJ, Hsieh CB, Chan DC, Chen CJ, et al. Volvulus of small intestine: rare complication of mesenteric pseudocyst. Z Gastroenterol 2009;47:1208-1210. https://doi.org/10.1055/s-0028-1109525

Cited by

  1. A Mesenteric Pseudocyst of the Mesocolon vol.78, pp.2, 2012, https://doi.org/10.3919/jjsa.78.340