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Diagnosis and treatment of mediastinal enterogenous cysts in children
Ke-ren Zhang1, Hui-min Jia, En-yuan Pan
1Department of Pediatric Surgery, the Second Clinical College, China Medical University, Shenyang 110004. zkr425@yahoo.com
Insights
Mediastinal enterogenous cysts in children often cause respiratory distress and vertebral anomalies. Technetium-99m pertechnetate scintigraphy is effective for diagnosis, aiding in differentiating these from other mediastinal cysts.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Medical Imaging
Background:
- Mediastinal enterogenous cysts are rare congenital anomalies.
- These cysts can lead to significant respiratory compromise in pediatric patients.
- Accurate diagnosis and differentiation from other mediastinal masses are crucial for appropriate management.
Purpose of the Study:
- To review the diagnostic methods and therapeutic outcomes for mediastinal enterogenous cysts in children.
- To identify key clinical features and imaging modalities for early detection.
- To evaluate the effectiveness of different diagnostic tools.
Main Methods:
- Retrospective analysis of clinical data from 17 pediatric patients diagnosed with mediastinal enterogenous cysts over 19 years.
- Review of imaging studies including ultrasound, magnetic resonance imaging (MRI), and technetium-99m pertechnetate scintigraphy.
- Correlation of clinical presentation with diagnostic findings and outcomes.
Main Results:
- 16 out of 17 cases were enteric cysts; one was an intramural esophageal cyst.
- Respiratory distress was the most common presenting symptom.
- Vertebral anomalies were present in 12 cases.
- Ultrasound and MRI were useful for confirming cystic lesions.
- Technetium-99m pertechnetate scintigraphy was performed in 8 cases.
Conclusions:
- Mediastinal enterogenous cysts in children frequently present with respiratory distress and are often associated with vertebral anomalies.
- Ultrasonography and MRI are valuable for characterizing these cystic lesions.
- Technetium-99m pertechnetate scintigraphy is the most effective imaging modality for distinguishing mediastinal enterogenous cysts from other types of mediastinal cysts.
Objective:
To investigate the diagnosis and therapy of mediastinal enterogenous cysts in children.
Methods:
Clinical data of 17 cases with mediastinal enterogenous cysts within 19 years in our hospital were retrospectively analyzed.
Results:
One case was intramural esophageal cyst and 16 cases were enteric cysts, two among which were complicated with abdominal enteric duplications. Most cases presented with symptoms of respiratory distress. Twelve cases were complicated with vertebral anomalies. Ultrasound of 12 cases and magnetic resonance imaging of 4 cases were helpful in confirming the cystic nature of these lesions. Eight cases had technetium-99m pertechnetate scintigraphy of posterior mediastinum.
Conclusions:
Most patients present with symptoms of respiratory distress, complicated with vertebral anomalies. Ultrasonography and magnetic resonance imaging may be helpful in confirming the cystic nature of these lesions. Technetium-99m pertechnetate scintigraphy is the most effective method for differentiation of the disease from other mediastinal cysts.
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