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The diagnosis and treatment of mesenteric cysts is challenging due to rarity, lack of specific symptoms and variability in location and size. This report aims to discuss current diagnostic and treatment strategies. A 35-year-old woman presented with non-specific abdominal pain. CT revealed a 5×5×3 cm septated abdominal cyst (figure 1). Aspiration (figure 1) demonstrated no malignant cells. Return of symptoms confirmed recurrence using MRI 2 months later (figure 2). Laparotomy confirmed 5 cm cyst attached to ileal mesentery (figure 3). Cyst was excised intact (figure 3 …