Giant Chylous Mesenteric Cyst Requiring Segmental Small Bowel Resection in a Young Adult: A Case Report

Figures

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  FIGURE 1. Axial contrast‐enhanced CT images of the abdomen and pelvis (A–C; representative slices from upper to lower levels) showing a giant, well‐defined, thin‐walled, multiloculated cystic mass of approximately 20 × 20 × 15 cm arising from the small bowel mesentery and displacing the adjacent small bowel loops and colon, without calcification or a solid mural component.

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  FIGURE 2. Intraoperative photograph showing the giant multiloculated, thin‐walled cyst with visible surface vessels, tightly adherent to the mesenteric border of the adjacent small bowel loop and sharing its mesenteric vascular supply, which made safe enucleation impossible.

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  FIGURE 3. Resected specimen: the segment of small bowel, opened to show the mucosal surface, with the attached collapsed multiloculated cyst wall along its mesenteric border after decompression of the chylous contents. Scale in centimeters.