Term
| OBE: SCORE: MESENTERIC CYST: PRESENTATION* |
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Definition
OBE: SCORE: MESENTERIC CYST: PRESENTATION*
Given a patient with anorexia, acute abdominal pain, and an abdominal mass on physical examination, the resident can urgently schedule an appropriate imaging test to evaluate the patient, without assistance.
http://www.surgicalcore.org/modulecontent.aspx?id=135131
A 32-year-old male with a history of chronic intermittent abdominal pain and anorexia presents to the emergency room with acute right-sided abdominal pain. He has a right-sided mobile abdominal mass on physical examination. What will your approach be to evaluating this patient?
http://www.surgicalcore.org/moduleConference.aspx?id=135131
A 41-year-old female undergoes a CT scan of the abdomen and pelvis to evaluate a ventral hernia. The CT scan demonstrates a 3 cm unilocular mesenteric cyst without solid components. What will your approach be to evaluating and treating this patient?
A 4-year-old boy presents in the emergency room with abdominal pain and a mobile abdominal mass. What will your approach be to managing this patient?
http://www.surgicalcore.org/moduleConference.aspx?id=135131
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Term
OBE: SCORE: MESENTERIC CYST: SOURCE: SCORE: http://www.surgicalcore.org/modulecontent.aspx?id=135131
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Definition
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Term
| OBE: SCORE: MESENTERIC CYST: DDX: MESENTERIC TUMORS* |
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Definition
OBE: SCORE: MESENTERIC CYST: DDX: MESENTERIC TUMORS*
Given a patient with a mesenteric cyst, the resident can independently differentiate the lesion from sclerosis mesenteritis and mesenteric tumors on cross-sectional abdominal and pelvic imaging.
http://www.surgicalcore.org/modulecontent.aspx?id=135131
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Term
OBE: SCORE: MESENTERIC CYST: DDX: OMENTAL CYST*
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Definition
OBE: SCORE: MESENTERIC CYST: DDX: OMENTAL CYST*
Given a patient with a mesenteric cyst, the resident can independently differentiate the lesion from an omental cyst upon physical examination, without the need for radiographic imaging.
http://www.surgicalcore.org/modulecontent.aspx?id=135131
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Term
| OBE: SCORE: MESENTERIC CYST: DDX: SCLEROSIS MESENTERITIS / SCLEROSING MESENTERITIS* |
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Definition
OBE: SCORE: MESENTERIC CYST: DDX: SCLEROSIS MESENTERITIS / SCLEROSING MESENTERITIS*
Given a patient with a mesenteric cyst, the resident can independently differentiate the lesion from sclerosis mesenteritis and mesenteric tumors on cross-sectional abdominal and pelvic imaging.
http://www.surgicalcore.org/modulecontent.aspx?id=135131
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Term
OBE: SCORE: MESENTERIC CYST: EMBRYOLOGY
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Definition
OBE: SCORE: MESENTERIC CYST: EMBRYOLOGY
Given a pediatric patient with a mesenteric cyst, the resident is able to distinguish the embryologic abnormalities of intestinal duplication cysts and mesenteric cyst, including anatomic differences pertinent to resection, without assistance.
http://www.surgicalcore.org/modulecontent.aspx?id=135131
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Term
| OBE: SCORE: MESENTERIC CYST: HISTORY* |
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Definition
OBE: SCORE: MESENTERIC CYST: HISTORY*
Given a patient with anorexia, acute abdominal pain, and an abdominal mass on physical examination, the resident can urgently schedule an appropriate imaging test to evaluate the patient, without assistance.
http://www.surgicalcore.org/modulecontent.aspx?id=135131
A 32-year-old male with a history of chronic intermittent abdominal pain and anorexia presents to the emergency room with acute right-sided abdominal pain. He has a right-sided mobile abdominal mass on physical examination. What will your approach be to evaluating this patient?
http://www.surgicalcore.org/moduleConference.aspx?id=135131
Mesenteric Cysts
The most common non-neoplastic mesenteric cysts are termed mesothelial cysts on the basis of the ultrastructure of the cells lining the cyst. The cysts contain chyle or a clear serous fluid and may occur in the mesentery of the small intestine (60%) or colon (40%).
These cysts usually occur in adults, with a mean age of 45 years, and are twice as common in women as in men.
Depending on the size of the cyst, patients may present with complaints of abdominal pain, fever, and emesis. A midabdominal mass may be palpable on examination of the abdomen. The diagnosis can usually be made preoperatively with ultrasonography or CT. Enucleation of the cyst at laparotomy is curative and can generally be accomplished because the mesenteric blood vessels and intestinal wall are usually not adherent to the cyst wall. Internal drainage of the cyst into the peritoneal cavity has also been successfully used in the treatment of very large cysts. Aspiration alone has a high rate of cyst recurrence. In those cases in which the cyst is not completely excised, the contents of the cyst and the internal architecture of the cyst wall must be carefully inspected and the cyst wall examined histologically to rule out a non-neoplastic cause.
http://www.surgicalcore.org/chapter/418256
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Term
OBE: SCORE: MESENTERIC CYST: PHYSICAL EXAM*
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Definition
OBE: SCORE: MESENTERIC CYST: PHYSICAL EXAM*
Given a patient with anorexia, acute abdominal pain, and an abdominal mass on physical examination, the resident can urgently schedule an appropriate imaging test to evaluate the patient, without assistance.
http://www.surgicalcore.org/modulecontent.aspx?id=135131
Given a patient with a mesenteric cyst, the resident can independently differentiate the lesion from an omental cyst upon physical examination, without the need for radiographic imaging.
http://www.surgicalcore.org/modulecontent.aspx?id=135131
A 32-year-old male with a history of chronic intermittent abdominal pain and anorexia presents to the emergency room with acute right-sided abdominal pain. He has a right-sided mobile abdominal mass on physical examination. What will your approach be to evaluating this patient?
http://www.surgicalcore.org/moduleConference.aspx?id=135131
Mesenteric Cysts
The most common non-neoplastic mesenteric cysts are termed mesothelial cysts on the basis of the ultrastructure of the cells lining the cyst. The cysts contain chyle or a clear serous fluid and may occur in the mesentery of the small intestine (60%) or colon (40%).
These cysts usually occur in adults, with a mean age of 45 years, and are twice as common in women as in men.
Depending on the size of the cyst, patients may present with complaints of abdominal pain, fever, and emesis. A midabdominal mass may be palpable on examination of the abdomen. The diagnosis can usually be made preoperatively with ultrasonography or CT. Enucleation of the cyst at laparotomy is curative and can generally be accomplished because the mesenteric blood vessels and intestinal wall are usually not adherent to the cyst wall. Internal drainage of the cyst into the peritoneal cavity has also been successfully used in the treatment of very large cysts. Aspiration alone has a high rate of cyst recurrence. In those cases in which the cyst is not completely excised, the contents of the cyst and the internal architecture of the cyst wall must be carefully inspected and the cyst wall examined histologically to rule out a non-neoplastic cause.
http://www.surgicalcore.org/chapter/418256
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Term
OBE: SCORE: MESENTERIC CYST: TREATMENT**
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Definition
OBE: SCORE: MESENTERIC CYST: TREATMENT*
- A 41-year-old female undergoes a CT scan of the abdomen and pelvis to evaluate a ventral hernia. The CT scan demonstrates a 3 cm unilocular mesenteric cyst without solid components. What will your approach be to evaluating and treating this patient?
- http://www.surgicalcore.org/moduleConference.aspx?id=135131
-A 4-year-old boy presents in the emergency room with abdominal pain and a mobile abdominal mass. What will your approach be to managing this patient?
- http://www.surgicalcore.org/moduleConference.aspx?id=135131
The most common non-neoplastic mesenteric cysts are termed mesothelial cysts on the basis of the ultrastructure of the cells lining the cyst. The cysts contain chyle or a clear serous fluid and may occur in the mesentery of the small intestine (60%) or colon (40%). These cysts usually occur in adults, with a mean age of 45 years, and are twice as common in women as in men. Depending on the size of the cyst, patients may present with complaints of abdominal pain, fever, and emesis. A midabdominal mass may be palpable on examination of the abdomen. The diagnosis can usually be made preoperatively with ultrasonography or CT. Enucleation of the cyst at laparotomy is curative and can generally be accomplished because the mesenteric blood vessels and intestinal wall are usually not adherent to the cyst wall. Internal drainage of the cyst into the peritoneal cavity has also been successfully used in the treatment of very large cysts. Aspiration alone has a high rate of cyst recurrence. In those cases in which the cyst is not completely excised, the contents of the cyst and the internal architecture of the cyst wall must be carefully inspected and the cyst wall examined histologically to rule out a non-neoplastic cause.
-http://www.surgicalcore.org/chapter/418256
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Term
| OBE: SCORE: MESENTERIC CYST: TREATMENT: SITUATION: ASYMPTOMATIC* |
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Definition
OBE: SCORE: MESENTERIC CYST: TREATMENT: SITUATION: ASYMPTOMATIC*
- Given an adult patient with an asymptomatic mesenteric cyst, the resident is able to recommend follow-up and schedule imaging, without assistance.
- http://www.surgicalcore.org/modulecontent.aspx?id=135131
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Term
OBE: SCORE: MESENTERIC CYST: TREATMENT: SITUATION: MESENTERIC CYST WITH SOLID COMPONENT*
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Definition
OBE: SCORE: MESENTERIC CYST: TREATMENT: SITUATION: MESENTERIC CYST WITH SOLID COMPONENT*
- How will you approach a symptomatic patient who has an abdominal CT scan demonstrating a mesenteric cystic mass with multiple loculations and a solid component?
- http://www.surgicalcore.org/moduleConference.aspx?id=135131
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Term
OBE: SCORE: MESENTERIC CYST: TREATMENT: SITUATION: RUPTURED MESENTERIC CYST*
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Definition
OBE: SCORE: MESENTERIC CYST: TREATMENT: SITUATION: RUPTURED MESENTERIC CYST*
- A 35-year-old male has a ruptured, hemorrhagic mesenteric cyst of the small intestine, discovered during an exploratory laparotomy for acute abdominal pain. What will your approach be to managing this situation?
-http://www.surgicalcore.org/moduleConference.aspx?id=135131
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Term
OBE: SCORE: MESENTERIC CYST: TREATMENT: SURGERY: INDICATIONS*
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Definition
OBE: SCORE: MESENTERIC CYST: TREATMENT: SURGERY: INDICATIONS*
- Given a patient with a mesenteric cyst, the resident is able to determine the criteria for resection and independently obtain informed consent for a laparoscopic or open procedure.
- http://www.surgicalcore.org/modulecontent.aspx?id=135131
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Term
| OBE: SCORE: MESENTERIC CYST: WORKUP* |
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Definition
OBE: SCORE: MESENTERIC CYST: WORKUP*
- A 32-year-old male with a history of chronic intermittent abdominal pain and anorexia presents to the emergency room with acute right-sided abdominal pain. He has a right-sided mobile abdominal mass on physical examination. What will your approach be to evaluating this patient?
- http://www.surgicalcore.org/moduleConference.aspx?id=135131
- A 41-year-old female undergoes a CT scan of the abdomen and pelvis to evaluate a ventral hernia. The CT scan demonstrates a 3 cm unilocular mesenteric cyst without solid components. What will your approach be to evaluating and treating this patient?
- http://www.surgicalcore.org/moduleConference.aspx?id=135131
-A 4-year-old boy presents in the emergency room with abdominal pain and a mobile abdominal mass. What will your approach be to managing this patient?
- http://www.surgicalcore.org/moduleConference.aspx?id=135131
The most common non-neoplastic mesenteric cysts are termed mesothelial cysts on the basis of the ultrastructure of the cells lining the cyst. The cysts contain chyle or a clear serous fluid and may occur in the mesentery of the small intestine (60%) or colon (40%). These cysts usually occur in adults, with a mean age of 45 years, and are twice as common in women as in men. Depending on the size of the cyst, patients may present with complaints of abdominal pain, fever, and emesis. A midabdominal mass may be palpable on examination of the abdomen. The diagnosis can usually be made preoperatively with ultrasonography or CT. Enucleation of the cyst at laparotomy is curative and can generally be accomplished because the mesenteric blood vessels and intestinal wall are usually not adherent to the cyst wall. Internal drainage of the cyst into the peritoneal cavity has also been successfully used in the treatment of very large cysts. Aspiration alone has a high rate of cyst recurrence. In those cases in which the cyst is not completely excised, the contents of the cyst and the internal architecture of the cyst wall must be carefully inspected and the cyst wall examined histologically to rule out a non-neoplastic cause.
-http://www.surgicalcore.org/chapter/418256
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Term
OBE: SCORE: MESENTERIC CYST: WORKUP: IMAGING*
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Definition
OBE: SCORE: MESENTERIC CYST: WORKUP: IMAGING*
Given a patient with anorexia, acute abdominal pain, and an abdominal mass on physical examination, the resident can urgently schedule an appropriate imaging test to evaluate the patient, without assistance.
http://www.surgicalcore.org/modulecontent.aspx?id=135131
Given a patient with a mesenteric cyst, the resident can independently differentiate the lesion from sclerosis mesenteritis and mesenteric tumors on cross-sectional abdominal and pelvic imaging.
http://www.surgicalcore.org/modulecontent.aspx?id=135131
A 41-year-old female undergoes a CT scan of the abdomen and pelvis to evaluate a ventral hernia. The CT scan demonstrates a 3 cm unilocular mesenteric cyst without solid components. What will your approach be to evaluating and treating this patient?
http://www.surgicalcore.org/moduleConference.aspx?id=135131
Mesenteric Cysts
The most common non-neoplastic mesenteric cysts are termed mesothelial cysts on the basis of the ultrastructure of the cells lining the cyst. The cysts contain chyle or a clear serous fluid and may occur in the mesentery of the small intestine (60%) or colon (40%).
These cysts usually occur in adults, with a mean age of 45 years, and are twice as common in women as in men.
Depending on the size of the cyst, patients may present with complaints of abdominal pain, fever, and emesis. A midabdominal mass may be palpable on examination of the abdomen. The diagnosis can usually be made preoperatively with ultrasonography or CT. Enucleation of the cyst at laparotomy is curative and can generally be accomplished because the mesenteric blood vessels and intestinal wall are usually not adherent to the cyst wall. Internal drainage of the cyst into the peritoneal cavity has also been successfully used in the treatment of very large cysts. Aspiration alone has a high rate of cyst recurrence. In those cases in which the cyst is not completely excised, the contents of the cyst and the internal architecture of the cyst wall must be carefully inspected and the cyst wall examined histologically to rule out a non-neoplastic cause.
http://www.surgicalcore.org/chapter/418256
Coronal image of mesenteric cyst. [image]
http://www.surgicalcore.org/modulecontent.aspx?id=135131
Axial image of mesenteric cyst. [image]
http://www.surgicalcore.org/modulecontent.aspx?id=135131
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Term
| OBE: SCORE: MESENTERIC CYST: TREATMENT: SITUATION: MESENTERIC CYST WITHOUT SOLID COMPONENT* |
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Definition
OBE: SCORE: MESENTERIC CYST: TREATMENT: SITUATION: MESENTERIC CYST WITHOUT SOLID COMPONENT*
A 41-year-old female undergoes a CT scan of the abdomen and pelvis to evaluate a ventral hernia. The CT scan demonstrates a 3 cm unilocular mesenteric cyst without solid components. What will your approach be to evaluating and treating this patient?
http://www.surgicalcore.org/moduleConference.aspx?id=135131
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Term
| OBE: SCORE: MESENTERIC CYST: TREATMENT: SITUATION: SYMPTOMATIC* |
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Definition
OBE: SCORE: MESENTERIC CYST: TREATMENT: SITUATION: SYMPTOMATIC*
A 4-year-old boy presents in the emergency room with abdominal pain and a mobile abdominal mass. What will your approach be to managing this patient?
http://www.surgicalcore.org/moduleConference.aspx?id=135131
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Term
OBE: SCORE: MESENTERIC CYST: SOURCE: EMEDICINE: https://emedicine.medscape.com/article/938463-overview
CONTINUE FROM HERE 11/11/17 |
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Definition
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Term
OBE: SCORE: MESENTERIC CYST: ANATOMY / LOCATION / STATISTICS
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Definition
OBE: SCORE: MESENTERIC CYST: ANATOMY / LOCATION / STATISTICS
Diseases of the Mesentery
Mesenteric Cysts
The most common non-neoplastic mesenteric cysts are termed mesothelial cysts on the basis of the ultrastructure of the cells lining the cyst. The cysts contain chyle or a clear serous fluid and may occur in the mesentery of the small intestine (60%) or colon (40%).
These cysts usually occur in adults, with a mean age of 45 years, and are twice as common in women as in men.
Depending on the size of the cyst, patients may present with complaints of abdominal pain, fever, and emesis. A midabdominal mass may be palpable on examination of the abdomen. The diagnosis can usually be made preoperatively with ultrasonography or CT. Enucleation of the cyst at laparotomy is curative and can generally be accomplished because the mesenteric blood vessels and intestinal wall are usually not adherent to the cyst wall. Internal drainage of the cyst into the peritoneal cavity has also been successfully used in the treatment of very large cysts. Aspiration alone has a high rate of cyst recurrence. In those cases in which the cyst is not completely excised, the contents of the cyst and the internal architecture of the cyst wall must be carefully inspected and the cyst wall examined histologically to rule out a non-neoplastic cause.
http://www.surgicalcore.org/chapter/418256
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Term
OBE: SCORE: MESENTERIC CYST: TREATMENT: SURGERY: OPTIONS: ASPIRATION
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Definition
OBE: SCORE: MESENTERIC CYST: TREATMENT: SURGERY: OPTIONS: ASPIRATION
Mesenteric Cysts
The most common non-neoplastic mesenteric cysts are termed mesothelial cysts on the basis of the ultrastructure of the cells lining the cyst. The cysts contain chyle or a clear serous fluid and may occur in the mesentery of the small intestine (60%) or colon (40%).
These cysts usually occur in adults, with a mean age of 45 years, and are twice as common in women as in men.
Depending on the size of the cyst, patients may present with complaints of abdominal pain, fever, and emesis. A midabdominal mass may be palpable on examination of the abdomen.
The diagnosis can usually be made preoperatively with ultrasonography or CT.
Enucleation of the cyst at laparotomy is curative and can generally be accomplished because the mesenteric blood vessels and intestinal wall are usually not adherent to the cyst wall. Internal drainage of the cyst into the peritoneal cavity has also been successfully used in the treatment of very large cysts. Aspiration alone has a high rate of cyst recurrence. In those cases in which the cyst is not completely excised, the contents of the cyst and the internal architecture of the cyst wall must be carefully inspected and the cyst wall examined histologically to rule out a non-neoplastic cause.
http://www.surgicalcore.org/chapter/418256
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Term
OBE: SCORE: MESENTERIC CYST: TREATMENT: SURGERY: OPTIONS: ENUCLEATION
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Definition
OBE: SCORE: MESENTERIC CYST: TREATMENT: SURGERY: OPTIONS: ENUCLEATION
Mesenteric Cysts
The most common non-neoplastic mesenteric cysts are termed mesothelial cysts on the basis of the ultrastructure of the cells lining the cyst. The cysts contain chyle or a clear serous fluid and may occur in the mesentery of the small intestine (60%) or colon (40%).
These cysts usually occur in adults, with a mean age of 45 years, and are twice as common in women as in men.
Depending on the size of the cyst, patients may present with complaints of abdominal pain, fever, and emesis. A midabdominal mass may be palpable on examination of the abdomen.
The diagnosis can usually be made preoperatively with ultrasonography or CT.
Enucleation of the cyst at laparotomy is curative and can generally be accomplished because the mesenteric blood vessels and intestinal wall are usually not adherent to the cyst wall.
Internal drainage of the cyst into the peritoneal cavity has also been successfully used in the treatment of very large cysts. Aspiration alone has a high rate of cyst recurrence. In those cases in which the cyst is not completely excised, the contents of the cyst and the internal architecture of the cyst wall must be carefully inspected and the cyst wall examined histologically to rule out a non-neoplastic cause.
http://www.surgicalcore.org/chapter/418256
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Term
OBE: SCORE: MESENTERIC CYST: TREATMENT: SURGERY: SI: UNABLE TO RESECT ENTIRE CYST (MAKE SURE YOU GET CYST BIOPSY FOR PATHOLOGY)
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Definition
OBE: SCORE: MESENTERIC CYST: TREATMENT: SURGERY: SI: UNABLE TO RESECT ENTIRE CYST (MAKE SURE YOU GET CYST BIOPSY FOR PATHOLOGY)
Mesenteric Cysts
The most common non-neoplastic mesenteric cysts are termed mesothelial cysts on the basis of the ultrastructure of the cells lining the cyst. The cysts contain chyle or a clear serous fluid and may occur in the mesentery of the small intestine (60%) or colon (40%).
These cysts usually occur in adults, with a mean age of 45 years, and are twice as common in women as in men.
Depending on the size of the cyst, patients may present with complaints of abdominal pain, fever, and emesis. A midabdominal mass may be palpable on examination of the abdomen.
The diagnosis can usually be made preoperatively with ultrasonography or CT.
Enucleation of the cyst at laparotomy is curative and can generally be accomplished because the mesenteric blood vessels and intestinal wall are usually not adherent to the cyst wall.
Internal drainage of the cyst into the peritoneal cavity has also been successfully used in the treatment of very large cysts.
Aspiration alone has a high rate of cyst recurrence.
In those cases in which the cyst is not completely excised, the contents of the cyst and the internal architecture of the cyst wall must be carefully inspected and the cyst wall examined histologically to rule out a non-neoplastic cause.
http://www.surgicalcore.org/chapter/418256
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Term
| OBE: SCORE: MESENTERIC CYST: TREATMENT: SURGERY: OPTIONS: INTERNAL DRAINAGE OF THE CYST INTO THE ABDOMINAL CAVITY |
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Definition
OBE: SCORE: MESENTERIC CYST: TREATMENT: SURGERY: OPTIONS: INTERNAL DRAINAGE OF THE CYST INTO THE ABDOMINAL CAVITY
Mesenteric Cysts
The most common non-neoplastic mesenteric cysts are termed mesothelial cysts on the basis of the ultrastructure of the cells lining the cyst. The cysts contain chyle or a clear serous fluid and may occur in the mesentery of the small intestine (60%) or colon (40%).
These cysts usually occur in adults, with a mean age of 45 years, and are twice as common in women as in men.
Depending on the size of the cyst, patients may present with complaints of abdominal pain, fever, and emesis. A midabdominal mass may be palpable on examination of the abdomen.
The diagnosis can usually be made preoperatively with ultrasonography or CT.
Enucleation of the cyst at laparotomy is curative and can generally be accomplished because the mesenteric blood vessels and intestinal wall are usually not adherent to the cyst wall.
Internal drainage of the cyst into the peritoneal cavity has also been successfully used in the treatment of very large cysts.
Aspiration alone has a high rate of cyst recurrence.
In those cases in which the cyst is not completely excised, the contents of the cyst and the internal architecture of the cyst wall must be carefully inspected and the cyst wall examined histologically to rule out a non-neoplastic cause.
http://www.surgicalcore.org/chapter/418256
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Term
| OBE: SCORE: MESENTERIC CYST: SCENARIO |
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Definition
OBE: SCORE: MESENTERIC CYST: SCENARIO
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Term
OBE: SCORE: MESENTERIC CYST: SOURCE: http://www.surgicalcore.org/chapter/418256
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Definition
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