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Related Experiment Videos

Mesenteric cysts in infancy and childhood.

D L Mollitt, T V Ballantine, J L Grosfeld

    Surgery, Gynecology & Obstetrics
    |August 1, 1978
    PubMed
    Summary

    Mesenteric cysts in children can cause serious complications like peritonitis. Surgical resection offers an excellent long-term prognosis for these rare gastrointestinal malformations.

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    Area of Science:

    • Pediatric Surgery
    • Gastrointestinal Malformations
    • Abdominal Surgery

    Background:

    • Mesenteric cysts are rare congenital anomalies.
    • They can present with vague or acute abdominal symptoms.
    • Complications include obstruction, perforation, and torsion.

    Purpose of the Study:

    • To review the clinical presentation, management, and outcomes of mesenteric cysts in infants and children.
    • To highlight the importance of early diagnosis and surgical intervention.

    Main Methods:

    • Retrospective review of 11 pediatric patients diagnosed with mesenteric cysts.
    • Analysis of clinical findings, surgical procedures, and postoperative follow-up.

    Main Results:

    • Seven boys and four girls were treated for mesenteric cysts.
    • Common presentations included abdominal distention, pain, vomiting, and palpable masses.
    • Two patients presented with peritonitis, one in shock, due to volvulus with perforation and infarction.
    • Surgical management involved cyst excision with small bowel resection and anastomosis in seven patients, and simple enucleation in four.
    • All patients survived without short- or long-term complications or recurrence.

    Conclusions:

    • Mesenteric cysts, though rare, can lead to life-threatening complications in children.
    • Prompt surgical management, including complete excision, is crucial for favorable outcomes.
    • Early recognition and intervention are associated with an excellent long-term prognosis.

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