mesenteric cyst

Mesenteric cysts are a very rare cause of abdominal pain and have a wide range of underlying causes.


Mesenteric cysts are rare, with a reported incidence of 0.5-1 per 100,000 admissions .

Clinical presentation

Patients usually present with abdominal pain and/or mass, although the cysts can be asymptomatic, incidental finding .


  • lymphatic: simple lymphatic cyst and lymphangioma
  • mesothelial: simple mesothelial cyst, benign cystic mesothelioma, and malignant cystic mesothelioma
  • enteric: enteric cyst and enteric duplication cyst
  • urogenital
  • mature cystic teratoma (dermoid cysts)
  • non-pancreatic pseudocysts (infectious and traumatic cysts)

Radiographic features

Mesenteric cysts can occur anywhere in the mesentery, from the duodenum to the rectum, and may extend into the retroperitoneum. Mesenteric cysts are cystic mesenteric lesions that can be further characterized by the wall thickness (thin or thick-walled) and their loculation (unilocular or multilocular).

Differential diagnosis

The main differential diagnosis is:

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