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Multimodality Diagnosis of Mesenteric Ischemia
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Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Infarction of a polyp within a mesenteric cyst: An unusual presentation as an acute abdomen

Sonia Gon1, Bipasa Majumdar, Aditi Bhattacharyya

  • 1Department of Pathology, R G Kar Medical College & Hospital, Kolkata, India.

Journal of Indian Association of Pediatric Surgeons
|October 27, 2010
PubMed

Insights

A rare case of a mesenteric cyst complicated by an infarcted polyp, leading to acute abdomen in a child, is presented. This unique presentation has not been previously documented in medical literature.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Pathology
  • Abdominal Imaging

Background:

  • Mesenteric cysts are rare congenital anomalies, typically presenting as asymptomatic abdominal masses.
  • Complications such as infection, torsion, or rupture are uncommon but can lead to acute surgical emergencies.
  • Polypoid lesions within mesenteric cysts are exceptionally rare, with infarction being an even rarer sequela.

Observation:

  • A five-year-old male child presented with symptoms indicative of acute abdomen.
  • Diagnostic imaging revealed a mesenteric cyst.
  • A polypoid structure within the cyst was identified as infarcted.

Findings:

  • The patient's acute abdomen was attributed to an infarcted polyp within a mesenteric cyst.
  • This specific complication, polyp infarction within a mesenteric cyst, represents a novel finding in the existing medical literature.
  • Histopathological examination confirmed the presence of infarction within the polyp.

Implications:

  • This case expands the spectrum of potential complications associated with mesenteric cysts in pediatric patients.
  • It highlights the importance of considering unusual etiologies for acute abdomen in children.
  • Further investigation into the pathogenesis of polyp formation and infarction within mesenteric cysts may be warranted.

Keywords:
Acute abdomeninfarcted polypmesenteric cyst

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