Rare Mesenteric Cysts in Female Children Can Mimic Gynaecologic Diseases

Strategic Insights -

Research from the University of Indonesia has highlighted the importance of considering mesenteric cysts in the differential diagnosis for female children presenting with abdominal pain. According to a case report published in the Journal of Pediatric and Adolescent Gynecology, mesenteric cysts can be asymptomatic or present with mild symptoms, but they can also cause severe abdominal pain and mimic gynaecologic diseases.

Key Takeaways:

  • Mesenteric cysts can present clinically and radiologically similar to gynaecologic diseases, making them challenging to identify.
  • A female child presented with worsening episodes of abdominal pain, which was later diagnosed as perforated rotated mesenteric cysts.
  • The cysts were accompanied with adhesions and jejunal perforation, requiring surgical excision, adhesiolysis, ileo-ileal resection, and anastomosis.
  • This case report highlights the importance of considering mesenteric cysts in the differential diagnosis for female children presenting with abdominal pain.
  • Valerie Josephine Dirjayanto, Astrid Indrafebrina Sugianto, and Riana Pauline Tamba conducted the research at the University of Indonesia, Faculty of Medicine.

Statistics:

  • More than half of mesenteric cyst cases are asymptomatic or present with mild symptoms.
  • Mesenteric cysts can present with severe abdominal pain, which can be mistaken for gynaecologic diseases.
  • The research was published in the Journal of Pediatric and Adolescent Gynecology, a peer-reviewed journal.

Sources:

  • Perforated rotated mesenteric cyst presenting as acute abdominal pain in a female paediatric patient: a case report. Journal of Pediatric and Adolescent Gynecology, 2025.
  • NewsRx. Findings from University of Indonesia in the Area of Mesenteric Cysts Described. Health & Medicine Week. October 17, 2025; p 186.