. American practice of surgery ; a complete system of the science and art of surgery . - inflam-mation of the intestine. Mesenteric cysts have been (li\-i(lc(l I)y Dowd into ciiilMyonic. hydatid. ai:dmalignant. The cin^ryonic may originate in the intestinal wall, usually fromthe submucosa or the subserous layei-s. Or they may be snared off portionsof the intestinal wall or diverticula. Cysts of the mesenteiy may result fromthe formation of a hiiematoma. They may also originate from the retroperi-toneal structures or from ftetal remnants such as dermoids, remnants of theWolffian or Muellerian d
. American practice of surgery ; a complete system of the science and art of surgery . - inflam-mation of the intestine. Mesenteric cysts have been (li\-i(lc(l I)y Dowd into ciiilMyonic. hydatid. ai:dmalignant. The cin^ryonic may originate in the intestinal wall, usually fromthe submucosa or the subserous layei-s. Or they may be snared off portionsof the intestinal wall or diverticula. Cysts of the mesenteiy may result fromthe formation of a hiiematoma. They may also originate from the retroperi-toneal structures or from ftetal remnants such as dermoids, remnants of theWolffian or Muellerian ducts or bodies, Remaks diverticulum, and accessorypancreas or adrenals. They may also originate in structures originally andnormally within the mesentery. Chvlous cvsts are not common. Porter collected twenty such cases and, in. Fig. .300.—McGraws Method of Gastro-Intestinal and Entero-Intestinal Anastomosis. The draw-ing shows the manner of introducmg the elastic hgature into place. (From Bryants Operative Sur-ger\-/ D. Appleton & Co., Xew York, Pubhshers.) doing SO, he noted twenty-nine cases of simple serous cysts. Chylous cystsare usually due to an accumulation of chyle in a preformed cyst. Parasitic cysts, hydatid cysts, of the mesentery are not so rare. In 1899no fewer than twenty-nine cases were collected, and since then many new caseshave been reported. Cystic tumors occur twice as often as solid tumors. Malignant cysts are more commonly sarcomata than carcinomata. Non-mahgnant cysts may occur at any age, their size vaiying from thosewhich are minute to cysts weighing as much as forty pounds. They are usuallysingle, but may be multiple. They are apt to be confused ^^ith o^•arian orbroad-ligament cysts, ^aginal examinations with the patient in the Tren-delenburg position will usually clear the
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
