ArticleJournal of surgical case reports2026
Chylolymphatic mesenteric cyst in a young adult: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Mesenteric cysts are rare, benign tumors more commonly found in children than adults, accounting for 1 in 250 000 hospital admissions. Chylolymphatic mesenteric cysts arise from ectopic lymphatic proliferation in the mesentery and usually present with non-specific symptoms such as abdominal pain, swelling, or intestinal obstruction. Their variable presentation often delays diagnosis, which is frequently confirmed during surgical exploration. We report the case of a 25-year-old female presenting with abdominal swelling, pain, and nausea. Examination revealed a soft, non-tender right hemi-abdominal mass. Contrast-enhanced computed tomography showed a well-defined cystic lesion adjacent to small bowel loops. Following pre-operative evaluation, an exploratory laparotomy with complete excision was performed. The cyst contained milky fluid, consistent with a chylolymphatic mesenteric cyst, and histopathology confirmed a benign lesion. The postoperative course was uneventful. This case highlights the diagnostic challenge of such cysts in adults and supports surgical excision as a safe and effective treatment option.
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