Published date: Dec 08 2024

Journal Title: Dubai Medical Journal

Issue title: Dubai Medical Journal (DMJ): Volume 7 Issue 3

Pages: 218 - 230

DOI: 10.18502/dmj.v7i3.17736

Stefan TalevDepartment of Surgery, Clinical Hospital “D-r Trifun Panovski” – Bitola, Bitola, N/A

Maja AvramovskaDepartment of Obstetrics and Gynecology, Clinical Hospital “D-r Trifun Panovski” – Bitola, St. Clement of Ohrid University of Bitola

Petar Avramovskiavramovski@gmail.comDepartment of Internal Medicine, Clinical Hospital “D-r Trifun Panovski” – Bitola, St. Clement of Ohrid University of Bitola

Zorica NikleskiDepartment of Public Health, Torren University, Sydney, New South Wales

Tamara IvkovskaDepartment of Pathology, “Ss. Cyril and Methodius” University - Skopje, Faculty of Medicine - Skopje, N/A

Biljana TalevaDepartment of Children Surgery, “Mother Teresa Clinical Center – Skopje”, Skopje, N/A

Kosta SotiroskiDepartment of Statistics, “St. Kliment Ohridski – Bitola”, Faculty of Economics – Prilep, Prilep, N/A

Vesna SiklovskaDepartment of Radiology, Clinical Hospital “D-r Trifun Panovski” – Bitola, Bitola, N/A

Irena TrajcevskaDepartment of Radiology, Clinical Hospital “D-r Trifun Panovski” – Bitola, Bitola, N/A

Aleksandra ServiniDepartment of Vascular Surgery, PHI University Clinic for Surgical Diseases “St. Naum Ohridski – Skopje”, Skopje, N/A

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.

Keywords: mesenteric pseudocyst, mesenteric cyst, small bowel, Meckel’s diverticulitis

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