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Mesenteric cysts in children

D P Bliss1, C M Coffin, R J Bower

  • 1Department of Surgery, St. Louis Children's Hospital, St. Louis, Mo.

Surgery
|May 1, 1994
PubMed
Summary

Mesenteric cysts are rare abdominal masses in children, often presenting as abdominal pain. Ultrasonography can help diagnose these cysts, especially when appendicitis is ruled out.

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Area of Science:

  • Pediatric Surgery
  • Abdominal Imaging
  • Gastroenterology

Background:

  • Mesenteric cysts are uncommon benign abdominal masses.
  • Children constitute approximately one-third of patients with these lesions.

Purpose of the Study:

  • To investigate the clinical presentation and diagnostic methods for mesenteric cysts in pediatric patients.
  • To evaluate the role of ultrasonography in diagnosing abdominal pathologies in children.

Main Methods:

  • Retrospective review of clinical records over 14 years.
  • Inclusion of 10 pediatric patients diagnosed with mesenteric cysts.
  • Analysis of imaging findings, clinical presentation, and surgical outcomes.

Main Results:

  • Abdominal pain was the primary complaint in 9 out of 10 patients.
  • Five patients presented with symptoms mimicking acute surgical abdomen, including appendicitis.
  • Cystic lymphangiomas were the most common type, found in 8 out of 10 cases.

Conclusions:

  • Mesenteric cysts should be considered in the differential diagnosis of pediatric abdominal pain.
  • Ultrasonography is a reliable initial imaging study for acute surgical abdomen in children.
  • Extended abdominal ultrasonography can identify mesenteric cysts when appendicitis is unlikely.

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