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Peritonitis caused by a ruptured infected mesenteric cyst
1Department of Pediatric Surgery, Hillel Yaffe Medical Center and Rappaport Medical School, Hadera, Israel.
Journal of Clinical Gastroenterology
|April 25, 2001
Insights
Perforation of a mesenteric cyst is a rare but serious complication in children. Prompt diagnosis with imaging and urgent surgical removal leads to good outcomes.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Surgical Complications
Background:
- Mesenteric cysts are rare intra-abdominal lesions.
- Perforation is an uncommon but critical complication.
Observation:
- Half of pediatric cases present acutely.
- Ultrasonography and computed tomography are key diagnostic modalities.
Findings:
- Urgent laparotomy and complete cyst excision are the standard treatment.
- Timely surgical intervention is crucial for favorable results.
Implications:
- Early recognition and surgical management improve patient prognosis.
- Highlights the importance of advanced imaging in diagnosing rare pediatric surgical emergencies.
Abstract:
Perforation of a mesenteric cyst is a very rare complication of a very unusual lesion. Acute presentation is the rule in half of all affected children. Ultrasonography and computed tomography are the best preoperative diagnostic tools. The treatment of choice is an urgent laparotomy and complete cyst removal. Results are good in cases that are operated on in a timely manner.