Mesenteric Cyst in Children: 7 Year Experience from Tertiary Pediatric Care Institute in India
Volume 3 ; Issue 1 ; in Month : Jan-June (2019) Article No : 120
Mandal KC, Kumar R, Halder P, et al.
Background/Purpose: Mesenteric and omental cysts are rare
intraabdominal lesion in pediatric population. They have a diverse clinical
presentation, etiology,radiological features and pathological
characteristics. However, surgical outcomesimproved with invent of
intensive care unit, integrated pediatric anesthesia and laparoscopic
surgery. Objective of this article is to share our experience with a variety
of mesenteric cysts which were managed successfully in our institution.
Material and Methods:17 children with mesenteric cysts who received
treatment in our institution over a period of 7 year (January 2009 to
December 2016) were included in this study. Data regarding patient’s
demographics, clinical behavior, investigations, operative procedures,
perioperative complications, operative outcome and follow-up protocol
were collected from clinical registry book of our institution. All parameter
are tabulated and analysed accordingly in order to detect the factors
influencing the outcome.
Results: Seventeen children with a median age of 23 months (range 1
month to 60 months) were included in this study. All patients were assessed
preoperatively by clinical sign, routine blood examination and
Ultrasonography. Preoperative diagnosis of mesenteric cyst was made by
USG in 7 cases. Contrast enhanced computed tomography was needed in
10 cases to clear out the preoperative diagnostic dilemma. Laparotomy
followed by complete excision of cyst was done in 14 cases. Three cases
underwent laparoscopic intervention out of which complete excision of cyst
was done in 1 case; partial excision and marsupialisation were done in
two cases. Redo surgery was needed in one case who initially managed by
laparoscopic marsupialisation. There was no mortality in our series.
Conclusion: Mesenteric cysts are commonly located in jejuno-ileal
mesentery. Preoperative definite diagnosis by imaging is of paramount
importance for proper surgical planning. Complete excision of cyst with or
without intestinal resection is the optimum treatment.
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