[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-416510-105":59,"doc-detail-416510-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","chylolymphatic-mesenteric-cyst-in-a-young-adult-a-case-report","Chylolymphatic mesenteric cyst in a young adult - a case report","","Mesenteric cysts are rare, benign tumors more often found in children, while chylolymphatic mesenteric cysts develop from ectopic lymphatic proliferation in the mesentery and commonly cause non-specific abdominal pain, swelling, or intestinal obstruction. Adult presentations are variable and often delay diagnosis until surgical exploration. A 25-year-old woman presented with abdominal swelling, pain, and nausea; imaging showed a well-defined cystic lesion near small bowel loops, and complete excision confirmed the benign chylolymphatic nature with an uneventful recovery.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/chylolymphatic-mesenteric-cyst-in-a-young-adult-a-case-report/416510/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/chylolymphatic-mesenteric-cyst-in-a-young-adult-a-case-report/416510.png","ImageObject",300,407,{"name":92,"@type":93},"Franzy","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",15,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What condition does the case report focus on?","Question",{"text":113,"@type":114},"It focuses on a chylolymphatic mesenteric cyst in a young adult, describing the clinical presentation, imaging findings, surgery, and histopathology confirmation.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What symptoms did the 25-year-old patient present with?",{"text":118,"@type":114},"The patient had a 1-month history of central, slightly right-sided abdominal swelling that later became associated with dull abdominal pain responsive to analgesics and nausea.",{"name":120,"@type":111,"acceptedAnswer":121},"How was the diagnosis confirmed and what was the treatment?",{"text":122,"@type":114},"Contrast-enhanced CT identified a well-defined cyst adjacent to small bowel loops, and exploratory laparotomy with complete excision was performed; the milky cyst contents and histopathology confirmed a benign chylolymphatic mesenteric cyst.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},416510,1790663793,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":52,"preview_page_count":4},2336478945519,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Journal of Surgical Case Reports, 2026, 1, rjaf1007  \n[https://doi.org/10.1093/jscr/rjaf1007](https://doi.org/10.1093/jscr/rjaf1007)  \nCase Report  \nCase Report  \nChylolymphatic mesenteric cyst in a young adult: a case report  \nMuhammad Affan Baig 1 , Sneha Sohail2 , Muhammad Burhan Baig1 , Rahmat Gul Omarzai 3 , *, Abdur Rehman 4  \n1 Department of General Surgery, Holy Family Hospital, Holy Family Road, Rawalpindi 46000, Pakistan  \n2 Department of General Surgery, Rawalpindi Medical University, Tipu Road, Rawalpindi 46000, Pakistan  \n3 Depatment of Medicine, Nangarhar University, Kabul-Jalalabad Highway, Daronta, Jalalabad, Nangarhar 2601, Afghanistan  \n4 Department of Otolaryngology, Benazir Bhutto Hospital, Murree Road, Rawalpindi 23000, Pakistan  \n*Corresponding author. Nangarhar University, Kabul-Jalalabad Highway, Daronta, Jalalabad, Nangarhar 2601, Afghanistan. E-mail: [rahmatgulomarzai@gmail.com](rahmatgulomarzai@gmail.com)  \nAbstract  \nMesenteric cysts are rare, benign tumors more commonly found in children than adults, accounting for 1 in 250000 hospital admissions. Chylolymphatic mesenteric cysts arise from ectopic lymphatic proliferation in the mesentery and usually present with non-specific symptoms such as abdominal pain, swelling, or intestinal obstruction. Their variable presentation often delays diagnosis, which is frequently confirmed during surgical exploration. We report the case of a 25-year-old female presenting with abdominal swelling, pain, and nausea. Examination revealed a soft, non-tender right hemi-abdominal mass. Contrast-enhanced computed tomography showed a well-defined cystic lesion adjacent to small bowel loops. Following pre-operative evaluation, an exploratory laparotomy with complete excision was performed. The cyst contained milky fluid, consistent with a chylolymphatic mesenteric cyst, and histopathology confirmed a benign lesion. The postoperative course was uneventful. This case highlights the diagnostic challenge of such cystsin adults and supports surgical excision as a safe and effective treatment option.  \nKeywords: mesenteric cyst; chylomicrons; lymphatic vessels/pathology; abdominal neoplasms; laparotomy  \nIntroduction  \nMesenteric cysts are rare, benign, cystic tumors of the gastrointestinal mesentery, with fewer than 1000 reported cases [1 , 2] . They are more common in children than adults, with an incidence of 1:20 000 in infants and 1:250 000 in adults [3] . These cysts are considered malformations of the lymphatic system, with no definitive risk factors identified. They mayarise anywhere along the gastrointestinal mesentery, from duodenum to rectum, and can occasionally extend into the retroperitoneum [4] . Chylolymphatic mesenteric cysts represent one of six types of mesenteric cysts, accounting for 7.3% of all abdominal cysts. They are benign, endothelial- or mesotheliallined lesions resulting from lymphatic obstruction or proliferation of ectopic lymphatics [5 , 6] . While pediatric cases are more frequently reported, adult cases remain scarce in literature [7] .  \nWe present the case of a 25-year-old female who underwent successful surgical excision of a chylolymphatic mesenteric cystat our institution.  \nCase presentation  \nA 25-year-old married female, mother of one, presented to our institution with a 1-month history of central, slightly right-sided abdominal swelling. Initially painless, it was later associated with dull abdominal pain responsive to analgesics and nausea. The swelling remained unchanged in size. Past surgeries included a lower-segment cesarean section 6 months earlier and an appendectomy 6 years ago. She had normal menstrual cycles and no comorbidities.  \nExamination revealed a round, non-distended abdomen with a right-sided bulge near the umbilicus. The mass measured ∼5 × 5 cm, soft, cystic, smooth, mobile transversely but restricted vertically, and non-tender. No cough impulse, pulsation, or skin changes were noted. Percussion was dull over the mass","cbCaild4NmbX30Fy","https://ap.wps.com/l/cbCaild4NmbX30Fy","pdf",851135,"English","# Abstract\n# Keywords\n# Introduction\n# Case presentation\n## Examination and imaging\n## Surgical findings and management\n# Figures","[{\"question\":\"What condition does the case report focus on?\",\"answer\":\"It focuses on a chylolymphatic mesenteric cyst in a young adult, describing the clinical presentation, imaging findings, surgery, and histopathology confirmation.\"},{\"question\":\"What symptoms did the 25-year-old patient present with?\",\"answer\":\"The patient had a 1-month history of central, slightly right-sided abdominal swelling that later became associated with dull abdominal pain responsive to analgesics and nausea.\"},{\"question\":\"How was the diagnosis confirmed and what was the treatment?\",\"answer\":\"Contrast-enhanced CT identified a well-defined cyst adjacent to small bowel loops, and exploratory laparotomy with complete excision was performed; the milky cyst contents and histopathology confirmed a benign chylolymphatic mesenteric cyst.\"}]","Chylolymphatic mesenteric cyst in a young adult - a case report | PDF",1790605695]