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Pediatric abdominal chylolymphatic cysts: Sneaky abdominal masqueraders.
Turkish Journal of Surgery
|October 2, 2018
Summary
This case report details the first known instance of a multicystic chylolymphatic mesenteric cyst in a child. Early surgical intervention is crucial for this rare abdominal mass, differentiating it from conditions like tuberculous ascites.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Abdominal Imaging
Background:
- Chylolymphatic mesenteric cysts are rare abdominal cystic tumors, particularly in children.
- Clinical presentations vary, and few cases have been documented globally.
Purpose of the Study:
- To report the first known case of a multicystic chylolymphatic mesenteric cyst in a pediatric patient.
- To highlight the importance of imaging in differentiating these cysts from other abdominal masses, such as tuberculous ascites.
Main Methods:
- Case presentation of a 1-year-old with abdominal distension and vomiting.
- Diagnostic workup including imaging and laboratory tests.
- Surgical exploration (laparotomy) with resection and anastomosis of affected jejunum.
Main Results:
- A 1-year-old presented with a lobulated cystic abdominal mass, initially misdiagnosed and treated for ascites.
- Imaging revealed a multiloculated abdominal mass near the small bowel.
- Laparotomy confirmed multiple cysts on the jejunum, necessitating surgical resection.
Conclusions:
- Multicystic chylolymphatic mesenteric cysts are a rare cause of abdominal masses in children.
- Accurate diagnosis through advanced imaging is vital to distinguish from conditions like tuberculous ascites.
- Complete surgical excision is recommended to avoid complications and ensure successful treatment.
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