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Volume 12 Issue 4 ( October-December ) 2023

Case Reports

A chylolymphatic mesentric cyst causing mid gut volvulus: Case report in southern Rajasthan
Dr. Sunilkumar Patel, Dr. Sanjeev Agarwal, Dr. Dhruv Jodha Dodiya, Dr. Kamal Kishore Bishnoi

A mesenteric cyst is a rare intra-abdominal pathology with little literature to guide us on how to diagnose and manage it. We have reported a 9-year-old girl child who presented with acute abdominal pain and vomiting and was diagnosed with an intra-abdominal cystic mass with midgut volvulus. She underwent an exploratory laparotomy and procedure, which found a large chylolymphatic mesenteric cyst. This cyst is resulting in a volvulus in the small bowel. The gut was derotated and noted to be viable, then a complete excision of the cyst was done with mesenteric repair. Usually, mid-gut volvulus presents in pediatric age groups with malrotation of the gut, but in this case, the gut wasn’t malrotated; it was due to cystic pathology that caused the volvulus. Urge

 
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