Mesenteric Cyst- A Rare Cause of Abdominal Pain in McBurney`s Point and Presence of need to Urinate in Sitting Position: Case Report

Abstract

Background: Mesenteric cysts are rare benign intra-abdominal tumors manifested with a lack of specific symptoms with the importance of diagnosis because of various complications associated with suboptimal surgical management.

Aim: To raise awareness about the unusual manifestation of mesenteric cyst at unusual age.

Case Report: A 19-year-old male adolescent came to the local ambulance due to throat pain and the appearance of a need to urinate but only while he was sitting. During physical examination his throat was hyperemic and abdominal painful resistance was palpated in the suprapubic area. He was given Cefuroxime and probiotics due to suspicion of cystitis. After three days on control examination, his throat pain was gone but abdominal pain was still present. During this physical examination, a painful resistance was palpated in McBurney`s spot. Further examination indicated ultrasound, which showed a round formation size of approximately 3.5 cm located above the bladder, paraaortal. Behind formation was present acoustic enhancement. The patient was referred to the general surgery department, the appointment was scheduled for next week. But in the evening of that same day the abdominal pain increased so he went to the emergency room. The patient underwent computed tomography. CT confirmed the presence of cystic formation in the right lower quadrant probably corresponding to the mesenteric cyst of the small intestine. Due to findings patient was referred to the surgery intervention to remove the cyst.

Conclusion: Mesenteric cysts are very rare conditions but different abdominal symptoms due to cyst localization and specific ultrasound findings should raise the suspicion of abdominal cysts.