Abstract
PURPOSE: Mesenteric and omental cysts are uncommon lesions found all age groups. They elicit interest
because of their unclear pathogenesis and confusing terminology.
MATERIALS AND METHODS: CT findings of 12 case with mesenteric and omental cysts were described and
compared with surgical and pathologic findings.
RESULTS: In mesenteric and omental cyst, the histologic diagnoses were lymphangioma(7 cases),
nonpancreatic pseudocyst(3 cases), mesothelial cyst(2 cases). Lymphangiomas were usually multiloculated
with enhancing wall, located in the small bowel mesentery. And these cystic lesions were frequently attached to
bowel and required resection of a bowel segment. In three cases of pseudocyst, thick and enhancing wall was
shown in unilocular cyst. Two cases of mesothlial cyst were located in greater omenturn, showed very thin wall
in unilocuation.
CONCLUSION: The CT features of the mesenteric and omental cysts are fairly characteristic. Identification of
lymphangioma, which shows a multilocuation and enhancing wall, is important due to frequent bowel resection
in operative field.