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Cysts of Gastrointestinal Origin in Children: Varied Presentation
Charu Tiwari1, Hemanshi Shah1, Mukta Waghmare1
1Department of Paediatric Surgery, T.N.M.C & B.Y.L. Nair Hospital, Mumbai, India.
Insights
Gastrointestinal origin cysts are rare and present diversely, often causing abdominal pain. Surgical excision is the primary treatment, offering good outcomes for these rare abdominal cysts.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Surgical Pathology
Background:
- Abdominal cysts originating from the gastrointestinal tract are uncommon.
- Their rarity and diverse clinical manifestations pose diagnostic challenges preoperatively.
Purpose of the Study:
- To analyze the clinical characteristics, diagnosis, management, and outcomes of gastrointestinal origin cysts.
- To highlight the diagnostic difficulties and treatment efficacy for these rare entities.
Main Methods:
- Retrospective analysis of 14 patients diagnosed with gastrointestinal origin cysts between 2009 and 2015.
- Data collected included age, sex, presentation, diagnostic methods, cyst type and location, treatment, and follow-up.
Main Results:
- The mean age was 4 years, with abdominal pain being the most frequent symptom.
- Presentations varied from acute (mesenteric and duplication cysts) to chronic (omental and mesenteric cysts).
- Surgical excision was performed for all cases, including a gastric duplication cyst in a patient with sickle cell trait.
Conclusions:
- Cysts of gastrointestinal origin are rare with varied presentations.
- Surgical excision is the definitive treatment.
- The prognosis and outcomes following surgical intervention are generally favorable.
Purpose:
Abdominal cysts of gastrointestinal origin are rare. Their rarity and varied clinical presentations make their pre-operative diagnosis difficult.
Methods:
Fourteen patients with histological diagnosis of cysts of gastrointestinal origin admitted between 2009 and 2015 were retrospectively analyzed with respect to age, sex, clinical presentation, diagnostic modality, site and type of cyst, management, outcome and follow-up.
Results:
The mean age at presentation was 4 years and there were six males and eight females. Abdominal pain was the most common presenting symptom. Five patients had an acute presentation-three had distal ileal mesenteric cysts and two had ileal duplication cyst sharing a common wall with ileum. Six patients presented with chronic abdominal pain and lump-three patients had omental cysts and three had mesenteric cysts-two of these in distal ileum and one in sigmoid colon. Two patients presented with antenatally diagnosed palpable abdominal lump. One had a mesenteric cyst of the ileum and the other had a distal ileal duplication cyst which required excision with resection and anastomosis. One patient had an atypical presentation. He was a known case of sickle cell trait and had presented with vague abdominal pain, recurrent cough and multiple episodes of haemoptysis over a period of one year. At laparotomy, gastric duplication cyst was found which was excised completely. Histopathology confirmed the diagnosis.
Conclusion:
Cysts of gastrointestinal origin are rare and have varied presentation. Surgical excision is the mainstay of treatment. The results and prognosis are good.
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