Chylo-lymphatic Mesenteric Cyst in a 7-Year-Old

Autor: Dubhashi Siddharth Pramod, Bhupendra Mehra
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: The Annals of African Surgery, Vol 19, Iss 1, Pp 62-65 (2022)
Druh dokumentu: article
ISSN: 1999-9674
2523-0816
DOI: 10.4314/aas.v19i1.12
Popis: Mesenteric cysts are rare intra-abdominal masses that usually remain asymptomatic and present incidentally on radiological imaging. As the incidence is low, with paucity of data, careful pre-operative assessment and execution of surgical procedure often present a challenge to the treating clinician. A 7-year-old female child presented with gradual distention of abdomen and dull abdominal ache. On clinical examination, a huge mass measuring 1812 cm was detected in the lower abdomen. On radiological imaging, a diagnosis of mesenteric cyst was made. Intra-operative findings were consistent with mesenteric cyst, and complete surgical excision was carried out by laparotomy. The histopathology report revealed a chylo-lymphatic type of mesenteric cyst. Huge, benign abdominal masses in pediatric patient may represent mesenteric cysts, and the diagnosis can be confirmed by radiological imaging modalities such as abdominal contrast-enhanced computed tomography. Complete surgical removal of the cyst remains the treatment of choice, as the literature is against marsupialization or aspiration of cyst owing to a higher chance of infection and morbidity.
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