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Mesenteric cyst in infancy: presentation and management.
Samia Belhassen1,2, Braiki Meriem1, Laamiri Rachida1,2
1University Hospital of Monastir, Department of Pediatric Surgery, Monastir, Tunisia.
The Pan African Medical Journal
|July 5, 2017
Summary
Mesenteric cysts, rare pediatric intra-abdominal tumors, present with non-specific symptoms. Complete surgical removal is the recommended treatment, offering excellent outcomes with no recurrence observed in this study.
Area of Science:
- Pediatric Surgery
- Abdominal Imaging
- Surgical Pathology
Background:
- Mesenteric cysts are rare, benign intra-abdominal tumors in children with unknown causes.
- Non-specific symptoms necessitate a high index of suspicion for timely diagnosis and management.
Observation:
- Three pediatric cases of mesenteric cysts (ages 10 days to 5 years) were managed.
- Two patients presented with intestinal obstruction; diagnosis was aided by ultrasonography and CT scans.
- All cysts were completely excised, with histopathology confirming benign mesothelial cysts.
Findings:
- Complete surgical excision of mesenteric cysts is effective in pediatric patients.
- Post-operative follow-up showed no recurrence in the managed cases.
- Imaging modalities like ultrasonography and CT are crucial for preoperative diagnosis.
Implications:
- Early diagnosis and surgical management of pediatric mesenteric cysts lead to favorable outcomes.
- Understanding the imaging characteristics aids in differentiating these benign lesions from other intra-abdominal pathologies.
- This case series highlights the importance of surgical intervention for complete resolution and prevention of recurrence.
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