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Unusual abdominal cysts in infants and children

N HASTINGS, W J NORRIS

    California Medicine
    |August 1, 1954
    PubMed

    Insights

    Abdominal cysts in children, including ovarian and mesenteric types, require surgical intervention. Most cases were successfully treated, highlighting the importance of prompt diagnosis and surgical correction for pediatric abdominal masses.

    Area of Science:

    • Pediatric Surgery
    • Abdominal Imaging
    • Gastrointestinal Surgery

    Background:

    • Abdominal cysts are rare in children, presenting diagnostic and management challenges.
    • A variety of cyst types can occur, including ovarian, mesenteric, enteric, and pancreatic cysts.
    • These cysts can lead to complications such as torsion, rupture, or intestinal obstruction.

    Purpose of the Study:

    • To review the types and outcomes of abdominal cysts in pediatric patients.
    • To analyze the diagnostic methods and surgical management strategies employed.
    • To evaluate the success rates of surgical interventions for abdominal cysts in children.

    Main Methods:

    • Retrospective review of 46 pediatric patients undergoing surgery for abdominal cysts over 20 years.
    • Classification of cysts based on origin: ovarian, mesenteric, enteric, and pancreatic.
    • Analysis of clinical presentation, diagnostic findings (including X-ray), surgical procedures, and outcomes.

    Main Results:

    • 46 pediatric patients (newborn to 13 years) were treated for abdominal cysts.
    • Ovarian cysts were most common (approx. 50%), followed by mesenteric, enteric, and pancreatic cysts.
    • Surgical correction was successful in 44 out of 46 cases, with some requiring intestinal resection.

    Conclusions:

    • Abdominal cysts in children encompass diverse types, with ovarian and mesenteric cysts being most frequent.
    • Prompt surgical intervention is crucial for managing symptomatic abdominal cysts in pediatric patients.
    • Surgical management of these cysts generally yields favorable outcomes in children.

    Keywords:
    ABDOMEN/cystsCYSTS

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