Laparoscopic treatment of a huge mesenteric pseudocyst – case report

Intra-abdominal cysts and pseudocysts are rarely occurring lesions. Their incidence is reported to be 1 per 100 000-250 000hospitalizations. The lesions’ rarity and their mostly asymptomatic development causes troubles in early recognitionand treatment. The patients’ complaints are unspecific and mostly occur when the cysts are enlarged. Sometimesthese entities may cause signs of peritoneal irritation and be the reason for immediate operation. It may happen inthe event of cyst rupture, torsion, haemorrhages into the lesion or signs of compression of neighbouring structures.Many radiological methods are helpful in revealing intra-abdominal cysts. Unfortunately they cannot accurately distinguishthe character of the lesion. The most common surgical procedure of treatment is excision during laparotomy.However, in some cases the laparoscopic approach can be equal to open surgery. This article presents a case ofa young woman with a large intra-abdominal pseudocyst treated with laparoscopy