The Turkish Journal of Pediatrics 2011 , Vol 53 , Num 4
Giant Mesenteric Cyst of Gastric Origin: A Case Report with Imaging Findings
Departments of 1Radiology and 3Pediatric Surgery, Ministry of Health, Mersin Women’s and Children’s Hospital, Mersin, and 2Department of Radiology, Ministry of Health, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey Ayaz ÜY, Dilli A, Api A. Giant mesenteric cyst of gastric origin: a case report with imaging findings. Turk J Pediatr 2011 53: 452-454.

We present a very rare case of a giant gastric mesenteric cyst with ultrasonography (US) and computed tomography (CT) findings. An eight-year-old boy was referred for treatment of an intraabdominal cyst, known to exist for six years. On abdominal US, a giant, thin-walled, unilocular intraabdominal cyst was demonstrated, extending from the epigastric region to the pelvis and measuring 18x15x6 cm. In contrast-enhanced abdominal CT, the cyst was demonstrated as a giant, unilocular, hypodense, non-enhancing structure, located dominantly on the right side of the abdomen. During open surgery, the cyst was found to originate from the mesentery-serosa of the gastric antrum and was filled with serous fluid. The cyst was excised totally. Both surgery and pathology confirmed the diagnosis of mesenteric cyst, originating from the stomach. The patient was discharged in good health. US and CT were effective in defining the features of the giant gastric mesenteric cyst and in narrowing the differential diagnosis in favor of mesenteric cyst. Keywords : ultrasonography, computed tomography, mesenteric cyst, gastric antrum, pediatrics.

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