Akın ÖNDER, Murat KAPAN, İbrahim ALİOSMANOĞLU, Zülfü ARIKANOĞLU, Mehmet Hanifi CAN, İlhan TAŞ, Hakan ÖNDER

İntraabdominal tümörlerin nadir bir nedeni: Mezenterik kistli 21 hastanın analizi

Amaç: Mezenterik kistler nadir görülen intraabdominal tümörlerdir. Bu çalışmada mezenterik kistlere ait klinik bulguların, patolojik özelliklerin ve uygulanan cerrahi yaklaşımların irdelenmesi amaçlanmıştır. Gereç ve Yöntem: Ocak 1985 - Aralık 2010 tarihleri arasında Dicle Üniversitesi Tıp Fakültesi Genel Cerrahi ve Çocuk Cerrahisi Kliniklerinde cerrahi uygulanan mezenterik kistli 21 hasta retrospektif olarak incelendi. Bulgular: Hastalarımızın 16’sı (%76.2) kadın, 5’i erkek (%23.8) olup, ortalama yaşları 32.62±22.19 (4-79) yıldı. En sık başvuru şikayeti abdominal kitle ve ağrı idi. Mezenterik kistler sıklıkla ince barsak mezenteri yerleşimliydi (%61.9). Kistin boyutları 4-25 cm arasında değişmekteydi. Hastalara uygulanan en sık cerrahi girişim enüklasyondu (%90.5). On yedi (80.9) hastada histopatoljik tanı kistik lenfanjiom ile uyumluydu. Ortalama hastanede yatış süresi 5.29±2.28(2-11) gün idi. Postoperatif morbidite oranı %33.3 olup, en sık görülen komplikasyon yara enfeksiyonuydu. Postoperatif dönemde mortalite gözlenmedi. Sonuç: Fizik muayenede düzgün sınırlı kitle palpe edilen ve görüntüleme yöntemleriyle intraabdominal kistik kitle saptanan karın ağrısı ile başvuran hastalarda ayırıcı tanıda mezenterik kist göz önünde bulundurulmalıdır.

A rare cause of intraabdominal tumors: An analysis of 21 patients with mesenteric cyst

Objectives: Mesenteric cysts are rare intraabdominal tumors. In this study, we aimed to investigate the clinical findings, pathological features and surgical approaches of mesenteric cysts. Materials and methods: Between January 1985 - December 2010 at Dicle University Medical Faculty General Surgery and Pediatric Surgery Department, 21 patients with mesenteric cyst were retrospectively analyzed. Results: Sixteen patients (76.2%) were women and 5 (23.8%) were men, with a mean age of 32.62 ± 22:19 (4-79) years. The most common symptoms were abdominal mass and pain. Mesenteric cysts were often located on the small bowel mesentery (61.9%). Cyst sizes ranged from 4-25 cm in diameters. The most common performed surgical procedures in patients were enucleation (90.5%). The histopathological diagnosis was confirmed as cystic lymphangioma in 17 (80.9%) patients. The mean length of hospitals stay was 5.29 ± 2.28 (2-11) days. Postoperative morbidity rate was 33.3% and the most common complication was wound infection. There was no postoperative mortality. Conclusion: When physical examination revealed a palpable mass with regular margins and intraabdominal cystic mass is detected with imaging techniques, mesenteric cyst should be considered in differential diagnosis in patients presenting with abdominal pain.

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