A mesenteric cyst () is a

cyst A cyst is a closed sac, having a distinct envelope and division compared with the nearby tissue. Hence, it is a cluster of cells that have grouped together to form a sac (like the manner in which water molecules group together to form a bubble ...

in the mesenterium, and is one of the rarest abdominal tumors, with approximately 822 cases reported since 1507. The incidence is between 1 per 100,000 to 1 per 250,000

hospital admission An admission note is part of a medical record that documents the patient's medical state, status (including medical history, history and physical examination, physical examination findings), reasons why the patient is being admitted for inpatient ...

s. Tillaux's triad named after the French surgeon

Paul Jules Tillaux Paul Jules Tillaux (8 December 1834 – 20 October 1904) was a French physician who was a native of Aunay-sur-Odon, département Calvados. Tillaux was a surgeon and professor of surgery in Paris, and in 1879 became a member of the ''Académie d ...

can be seen in cases of mesenteric cyst. It consists of the following signs: *a fluctuating swelling near the umbilicus, *freely mobile in the direction perpendicular to the attachment of mesentry, *On Percussion :- zone of resonance ,ie Band of bowel resonance (due to loop of bowel infront of cyst) and dull note behind due to fluid inside the cyst It is basically of two types : 1. Chylolymphatic most common type, thin wall, lined by flat endothelium, clear chylous fluid present, separate blood vessels 2. Enterogenous-thick wall, lined by columnar, mucinous fluid present common blood supply Treatment:- a) Chylolymphatic cyst:- Enucleation b) Enterogenous Cyst :- Excision of cyst along with resection and anastomosis of part of bowel that shares common blood supply with the cyst

References

Cysts Medical triads {{oncology-stub