Mesenteric cyst causing intestinal obstruction

Abstract

A 5-years old girl presented to us as recurrent attack of vomiting, abdominal pain, abdominal distention and absolute constipation (with cardinal feature of intestinal obstruction) for ten days duration. Abdominal radiography (erect position) shows multiple fluid levels (more than 7). At lapratomy distended small bowel and collapsed cecum, a small bowel was delivered to wound and was show a mesenteric cyst 30 cm proximal to ileocecal valve, encircling all sides of small bowel (multiloculated cyst) as shown in figure (1). Bowel resection was done for cyst containing segment with end. Histopathological results show chylolymphatic multi loculated cyst encirculing all sides bowel wall. The patient remains well at 8-month follow-up