Asian Journal of Research in Surgery

Post-traumatic Mesenteric Pseudocyst Due to Bicycle Handlebar Injury

Sopan N. Jatal *

Jatal Hospital and Research Centre, Latur, India.

Sudhir Jatal

Jatal Hospital and Research Centre, Latur, Tata Hospital, Mumbai, India.

Sachin Ingle

Department of Pathology, MIMSR Medical College, Latur, India.

*Author to whom correspondence should be addressed.

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Abstract

Mesenteric Pseudocyst is a cystic mass in the abdomen. The aetiology is either due to trauma or infection. True mesenteric cysts are lined by epithelium while pseudocysts are not. Mesenteric pseudocysts are very rare. Only 29 case reports were retrieved via the Medline/PubMed search engine. Incidental diagnosis of mesenteric Pseudocyst is during abdominal imaging or laparotomy.

We report an extremely rare case of post-traumatic mesenteric Pseudocyst in a 10-year-old girl. There was a history of falling from the bicycle and causing a handlebar blunt abdominal injury to the abdomen. After 5-6 months, she was presented with acute intestinal obstruction, due to volvulus of small bowel. The patient was managed by open explorative laparotomy, and we did total segmental resection of the ileum along with post-traumatic mesenteric Pseudocyst and also ileo-ileal anastomosis.   

Keywords: Blunt abdominal trauma, bicycle handlebar injury, traumatic mesenteric cyst

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