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Mesenteric cysts in children.

M A Chung1, M L Brandt, D St-Vil

  • 1Department of Surgery, Hopital Sainte-Justine, Montreal, Quebec, Canada.

Journal of Pediatric Surgery
|November 1, 1991
PubMed
Summary
This summary is machine-generated.

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Mesenteric cysts in children are rare but often symptomatic, frequently mimicking appendicitis. Early diagnosis via ultrasound and complete surgical resection ensure excellent outcomes for pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Abdominal Imaging
  • Gastrointestinal Pathology

Background:

  • Mesenteric cysts are uncommon intra-abdominal masses in pediatric patients.
  • Presentation can range from asymptomatic to acute abdomen, posing diagnostic challenges.

Observation:

  • A study reviewed 15 pediatric cases of mesenteric cysts treated between 1970 and 1990.
  • Abdominal pain was the most common presenting symptom.
  • Ultrasound accurately diagnosed cystic masses preoperatively in all cases.

Findings:

  • Mesenteric cysts were most frequently misdiagnosed as acute appendicitis.
  • Complete cyst excision is the preferred surgical approach.
  • Recurrence was noted only after cyst drainage, not resection.

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Implications:

  • Early and accurate diagnosis of pediatric mesenteric cysts is achievable with ultrasonography.
  • Complete surgical resection is the gold standard for treatment, leading to favorable outcomes.
  • Awareness of mesenteric cysts is crucial to avoid misdiagnosis, particularly of appendicitis.