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[Mesenteric cysts in childhood].

W Bätz, S Hofmann-von Kap-herr, J L Koltai

    Monatsschrift Kinderheilkunde : Organ Der Deutschen Gesellschaft Fur Kinderheilkunde
    |December 1, 1985
    PubMed
    Summary
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    Mesenteric cysts in children present with acute abdominal pain, often leading to intestinal obstruction. Surgical removal is effective, with all patients surviving without complications, indicating a good prognosis for these rare malformations.

    Area of Science:

    • Pediatric Surgery
    • Gastrointestinal Surgery
    • Diagnostic Imaging

    Background:

    • Mesenteric cysts are rare intra-abdominal masses, with varied clinical presentations.
    • In adults, symptoms are typically chronic, but in children, acute onset due to intestinal obstruction is common.

    Observation:

    • Five pediatric patients (3 boys, 2 girls, aged 2-10 years) presented with acute abdominal pain due to mesenteric cysts.
    • Sonography was the preferred diagnostic imaging modality, utilized in two cases.
    • Surgical management involved either simple cyst enucleation (3 patients) or cyst excision with small intestine resection (2 patients).

    Findings:

    • All five pediatric patients with mesenteric cysts survived the surgical intervention.
    • No short-term or long-term complications or cyst recurrences were observed post-surgery.

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  • Early diagnosis and complete surgical resection are crucial for favorable outcomes.
  • Implications:

    • This study highlights the importance of prompt diagnosis and surgical management of pediatric mesenteric cysts.
    • Effective treatment leads to excellent patient outcomes, preventing potential life-threatening complications.
    • Sonography plays a key role in the early identification of these pediatric gastrointestinal malformations.