Inflamed Mesenteric Pseudocyst Associated with Meckel’s Diverticulitis: Cause or Consequence

Talev, Stefan and Avramovska, Maja and Avramovski, Petar and Nikleski, Zorica and Ivkovska, Tamara and Taleva, Biljana and Sotiroski, Kosta and Sikloska, Vesna and Trajcevska, Irena and Servini, Aleksandra (2024) Inflamed Mesenteric Pseudocyst Associated with Meckel’s Diverticulitis: Cause or Consequence. Dubai Medical Journal, 7 (3). pp. 218-230. ISSN 2571-726X

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Abstract

Introduction: Mesenteric pseudocyst describes an abdominal mass that appears on small
bowel mesentery or mesocolon, or at any part of the abdomen and retroperitoneum.
This paper aims to emphasize the non-specific clinical appearance and highlight Meckel’s
diverticulitis as a potential cause of the development of pseudocyst.
Case Report: A 26-year-old male with a palpable mass in the right upper abdominal
quadrant and an increased body temperature of 38.3∘C was admitted for further medical
investigation. Computed tomography (CT) presented a cystic mass with a diameter of 5.5
cm, and emergency laparotomy was performed. Wedge resection of pathologic findings
of small bowel, its mesenterium, and the cyst mass associated with nearby Meckel’s
diverticulum was performed.
Discussion: Meckel’s diverticulum can be considered as a risk for developing mesenteric
pseudocyst, because of its frequent exacerbation of chronic inflammation. This report adds
to the limited literature on the association between Meckel’s diverticulum and mesenteric
pseudocysts, providing valuable insights that can guide future clinical evaluations and
surgical interventions. Early and accurate diagnosis, aided by imaging techniques such
as CT and magnetic resonance imaging (MRI), is essential for effective management. This
case highlights the potential link between chronic inflammation in Meckel’s diverticulum
and the formation of mesenteric pseudocysts.
Conclusion: This case highlights the need to consider Meckel’s diverticulitis in patients with
mesenteric pseudocysts, suggesting a possible pathophysiological link between them.
Surgical resection is recommended for effective management.

Item Type:	Article
Uncontrolled Keywords:	mesenteric pseudocyst, mesenteric cyst, small bowel, Meckel’s diverticulitis
Subjects:	Scientific Fields (Frascati) > Medical and Health Sciences > Basic medicine Scientific Fields (Frascati) > Medical and Health Sciences > Clinical medicine Scientific Fields (Frascati) > Medical and Health Sciences > Health sciences
Divisions:	UKLO Network
Depositing User:	D-r Petar Avramovski
Date Deposited:	11 Dec 2024 11:19
Last Modified:	11 Dec 2024 11:19
URI:	https://eprints.uklo.edu.mk/id/eprint/10512

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