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A Case of Mesenteric Cyst in a 4-Year-Old Child with Acute Abdominal Pain
Jae Woong Yoon1, Du Young Choi1, Yeon Kyun Oh1
1Department of Pediatrics, Wonkwang University School of Medicine, Iksan, Korea.
Insights
Mesenteric cysts, rare abdominal growths, often present with non-specific symptoms like pain and vomiting. This case highlights surgical treatment for a child with acute symptoms diagnosed via radiological examination.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Abdominal Imaging
Background:
- Mesenteric cysts are uncommon intra-abdominal lesions first described in 1507.
- Often asymptomatic, they are incidentally discovered during investigations for other conditions.
- Symptoms, when present, are variable and non-specific, mimicking other abdominal pathologies.
Abstract:
Mesenteric cysts are rare intra-abdominal lesions occurring during childhood, which were first described in 1507. Cases of mesenteric cysts have been continuously reported, but these cases were very small in number. They are often asymptomatic and incidentally found while patients are undergoing work-up or receiving treatment for other conditions such as appendicitis, small-bowel obstruction, or diverticulitis; however, patients may still have lower abdominal pain and symptoms that are frequently associated with other abdominal conditions. The symptoms are variable and non-specific, including pain (82%), nausea and vomiting (45%), constipation (27%), and diarrhea (6%). An abdominal mass may be palpable in up to 61% of patients. We are to report the clinical course and literature of a child with mesenteric cysts who complained of acute abdominal pain, distension, and vomiting and were surgically treated after being diagnosed with mesenteric cysts based on radiological examination.
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