Mesenteric cyst
A mesenteric cyst (
hospital admissions.[1]
Tillaux's triad named after the French surgeon Paul Jules Tillaux can be seen in cases of mesenteric cyst. It consists of the following signs:[2]
- a fluctuating swelling near the umbilicus
- freely mobile in the direction perpendicular to the attachment of mesentery
- on percussion: zone of resonance—i.e., 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[clarification needed] of two types:
- Chylolymphatic, the most common type: thin wall, lined by flat endothelium, clear chylous fluid present, separate blood vessels
- Enterogenous: thick wall, lined by columnar, mucinous fluid present common blood supply
Treatments:
- Chylolymphatic cyst: Enucleation
- Enterogenous cyst: Excision of cyst along with resection and anastomosis of part of bowel that shares common blood supply with the cyst
References
- ^ PMID 7945079.
- ISBN 9789811022579.
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