An Extremely Rare Presentation of Mesenteric Cyst

A mesenteric cyst is defined as any cyst that is located in the mesentery and may or may not extend into the retro-peritoneum. It has been reported that the mesenteric cysts have an incidence of 1/100000 hospital admissions in adults and 1/20000 in children. 1,2 Mesenteric cysts are very rare intraabdominal lesions. They are usually diagnosed as an incidental laparotomy finding in adults, but in childhood they may present with acute abdomen. Mesenteric cyst presenting as inguinal hernia is extremely rare. Only five cases have been reported in the literature. The present case is the sixth, and the third from this subcontinent. As per the best of our knowledge and available English literature this is first case in adults. All previously mentioned cases are in children. The goal of surgery is complete excision.