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Giant purulent mesenteric cyst

A Kubota1, T Yonekura, D Kuroda

  • 1Department of Surgery II, Kinki University School of Medicine, 377-2 Onohigashi Osakasayama, 589, Osaka, Japan.

Pediatric Surgery International
|September 24, 2013
PubMed

Insights

Infected intra-abdominal cystic lymphangiomas are rare. This case highlights a purulent mesenteric cyst in a child, likely caused by infection spreading from the fallopian tube.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Pathology
  • Infectious Diseases

Background:

  • Intra-abdominal cystic lymphangiomas are uncommon benign tumors.
  • Infected cystic lesions in the abdomen, particularly in pediatric patients, are rare and can present diagnostic challenges.

Purpose of the Study:

  • To report a rare case of an infected mesenteric cystic lymphangioma in a pediatric patient.
  • To discuss the clinical presentation, diagnostic imaging, surgical management, and suspected route of infection.

Main Methods:

  • Case presentation of a 1-year-old girl with abdominal distension and fever.
  • Diagnostic evaluation using Magnetic Resonance Imaging (MRI) to delineate the cystic lesion.
  • Surgical excision of the mesenteric cyst.

Main Results:

  • A large purulent mesenteric cyst occupying the peritoneal cavity was identified.
  • The cyst originated from the mesocolon and was completely removed.
  • Evidence suggested infection spread from the right fallopian tube to the cyst.

Conclusions:

  • Infected mesenteric cystic lymphangiomas, though rare, should be considered in pediatric patients with abdominal symptoms.
  • Early diagnosis and complete surgical resection are crucial for successful management.
  • This case suggests a potential route of infection from adjacent pelvic organs.

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