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Giant mesenteric cyst: Successful management in low-resource setting
Mario Antunes1, Damiano Pizzol2, Marcella Schiavone3
1Department of Surgery, Central Hospital of Beira, Beira, Mozambique.
Insights
Giant mesenteric cysts, rare abdominal growths, can be successfully treated even in resource-limited settings. This case highlights challenges and potential for improved healthcare in low-income countries.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Public Health
Background:
- Mesenteric cysts are uncommon intra-abdominal masses with variable presentations.
- Diagnosis and management can be challenging, particularly in resource-limited environments.
Observation:
- A case of a giant mesenteric cyst in a 16-month-old girl is presented.
- The patient was successfully managed in a low-resource setting, despite challenges.
Findings:
- Late-stage presentation and lack of preoperative diagnosis were noted.
- Cultural, economic, and healthcare system weaknesses contributed to diagnostic delays.
Implications:
- Successful management of rare, complex pediatric surgical cases is feasible in low-resource settings.
- Strengthening healthcare systems, including equipment and public health policies, is crucial for equitable patient care in low- and middle-income countries.
Introduction:
Mesenteric cysts are rare, generally benign intra-abdominal lesions with a wide range of presentation in terms of size, clinical presentation, etiology, radiological features, and pathological characteristics.
Presentation Of Case:
We reported a case of giant mesenteric cyst in a 16-month-old girl successfully managed in a low-resource setting.
Discussion:
This case is particularly important not only due to the rarity of the presented case, but also for the highlighted aspects from a public health point of view. We faced of the problem of a late stage disease and the lack of preoperative diagnosis due to cultural and economic reasons and the weaknesses of healthcare systems, as in the majority of low- and middle-income countries.
Conclusion:
Despite all these limitation, this case illustrates that complex, rare diseases can also be managed successfully in a low-resource setting. It is mandatory to strengthen and improve the health system both in terms of equipment both in terms of public health policies in order to offer a better and more effective quality of care to patients also in low-income countries.
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