Mesenteric Dermoid Cyst in Adult and Review of Literature

Abstract

Mesenteric dermoid cysts or teratoma are germ cell tumors composed of three germinal layers, ectoderm, mesoderm and endoderm. These tumors occur usually in children and 80-90% are benign and less than 3% tumors change in to malignancy. They are more common occur in the region of the head and neck, as well as in the gonads but extremely rarely present in the abdomen as an extra-gonadal mass. The occurrence of mesenteric teratoma in males is less common than in females. Mesenteric dermoid cyst may present as asymptomatic mass, abdominal pain and acute intestinal obstruction due to volvulus has been reported According to English literature and PubMed data base only 21 cases of mesenteric dermoid cysts are reported. Herein, we are reporting an extremely rare case of mesenteric dermoid cyst in a 35 years’ adult male patient. Clinically he presented with a lump in abdomen at right ileac fossa, pain in abdomen and diagnosis of mesenteric cyst confirmed on abdominal ultrasonography. We performed complete enucleation of a large mesenteric dermoid cyst without resection anastomosis of small bowel.