Mesenteric cyst in infancy: presentation and management

Mesenteric cysts are documented as a rare entity in pediatric population. They are considered as benign intra-abdominal tumors with an unknown etiology. Symptoms are not specific and knowledge of such condition is essential in order to establish a proper management. We report three pediatrics cases...

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Main Authors: Samia Belhassen, Braiki Meriem, Laamiri Rachida, Kechiche Nahla, Hidouri Saida, KrichenImed, Mosbahi Sana, Ksiaa Amine, Sahnoun Lassad, Mekki Mongi, Belguith Mohsen, Nouri Abdellatif
Format: Article
Language:English
Published: The Pan African Medical Journal 2017-03-01
Series:The Pan African Medical Journal
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Online Access: https://www.panafrican-med-journal.com/content/article/26/191/pdf/191.pdf
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author Samia Belhassen
Braiki Meriem
Laamiri Rachida
Kechiche Nahla
Hidouri Saida
KrichenImed
Mosbahi Sana
Ksiaa Amine
Sahnoun Lassad
Mekki Mongi
Belguith Mohsen
Nouri Abdellatif
author_facet Samia Belhassen
Braiki Meriem
Laamiri Rachida
Kechiche Nahla
Hidouri Saida
KrichenImed
Mosbahi Sana
Ksiaa Amine
Sahnoun Lassad
Mekki Mongi
Belguith Mohsen
Nouri Abdellatif
author_sort Samia Belhassen
collection DOAJ
description Mesenteric cysts are documented as a rare entity in pediatric population. They are considered as benign intra-abdominal tumors with an unknown etiology. Symptoms are not specific and knowledge of such condition is essential in order to establish a proper management. We report three pediatrics cases of mesenteric cysts managed between 2000 and 2009 in the pediatric surgery Department of Monastir College Hospital. We described the clinical, radiological and operative findings. Two males and a female were managed (age range: 10 days-5years, mean age: 6,3years). Two patients were presented with an intestinal obstruction. A preoperative diagnosis was made basing on imaging. Thus, abdominal ultrasonography was performed in all of our reported cases and showed a cystic mass in all cases. The cystic nature of the mass, its margins and its extension were better described on tomographic images. The mesenteric cyst was completely and successfully removed in all cases. The histopathological report confirmed the diagnosis and showed a multiloculated cyst with columnar mesothelial lining, without any defined muscular layer or cellular atypia and without any evidence of malignancy. The children were evaluated post-operatively with a mean follow-up of 2 years and a half. No recurrence was noted in our patients during the follow-up period. It is known that clinical features are not specific of such anomaly but once the diagnosis is made, the complete surgical removal of the cyst remains the treatment of choice with excellent outcomes.
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spelling doaj.art-9e13829a1c03439faccd2bf8606c31b62022-12-21T18:41:58ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882017-03-012619110.11604/pamj.2017.26.191.1147611476Mesenteric cyst in infancy: presentation and managementSamia Belhassen0Braiki Meriem1Laamiri Rachida2Kechiche Nahla3Hidouri Saida4KrichenImed5Mosbahi Sana6Ksiaa Amine7Sahnoun Lassad8Mekki Mongi9Belguith Mohsen10Nouri Abdellatif11 University Hospital of Monastir, Department of Pediatric Surgery, Monastir, Tunisia University Hospital of Monastir, Department of Pediatric Surgery, Monastir, Tunisia University Hospital of Monastir, Department of Pediatric Surgery, Monastir, Tunisia University Hospital of Monastir, Department of Pediatric Surgery, Monastir, Tunisia University Hospital of Monastir, Department of Pediatric Surgery, Monastir, Tunisia University Hospital of Monastir, Department of Pediatric Surgery, Monastir, Tunisia University Hospital of Monastir, Department of Pediatric Surgery, Monastir, Tunisia University Hospital of Monastir, Department of Pediatric Surgery, Monastir, Tunisia University Hospital of Monastir, Department of Pediatric Surgery, Monastir, Tunisia University Hospital of Monastir, Department of Pediatric Surgery, Monastir, Tunisia University Hospital of Monastir, Department of Pediatric Surgery, Monastir, Tunisia University Hospital of Monastir, Department of Pediatric Surgery, Monastir, Tunisia Mesenteric cysts are documented as a rare entity in pediatric population. They are considered as benign intra-abdominal tumors with an unknown etiology. Symptoms are not specific and knowledge of such condition is essential in order to establish a proper management. We report three pediatrics cases of mesenteric cysts managed between 2000 and 2009 in the pediatric surgery Department of Monastir College Hospital. We described the clinical, radiological and operative findings. Two males and a female were managed (age range: 10 days-5years, mean age: 6,3years). Two patients were presented with an intestinal obstruction. A preoperative diagnosis was made basing on imaging. Thus, abdominal ultrasonography was performed in all of our reported cases and showed a cystic mass in all cases. The cystic nature of the mass, its margins and its extension were better described on tomographic images. The mesenteric cyst was completely and successfully removed in all cases. The histopathological report confirmed the diagnosis and showed a multiloculated cyst with columnar mesothelial lining, without any defined muscular layer or cellular atypia and without any evidence of malignancy. The children were evaluated post-operatively with a mean follow-up of 2 years and a half. No recurrence was noted in our patients during the follow-up period. It is known that clinical features are not specific of such anomaly but once the diagnosis is made, the complete surgical removal of the cyst remains the treatment of choice with excellent outcomes. https://www.panafrican-med-journal.com/content/article/26/191/pdf/191.pdf mesentericchildsurgerycyst
spellingShingle Samia Belhassen
Braiki Meriem
Laamiri Rachida
Kechiche Nahla
Hidouri Saida
KrichenImed
Mosbahi Sana
Ksiaa Amine
Sahnoun Lassad
Mekki Mongi
Belguith Mohsen
Nouri Abdellatif
Mesenteric cyst in infancy: presentation and management
The Pan African Medical Journal
mesenteric
child
surgery
cyst
title Mesenteric cyst in infancy: presentation and management
title_full Mesenteric cyst in infancy: presentation and management
title_fullStr Mesenteric cyst in infancy: presentation and management
title_full_unstemmed Mesenteric cyst in infancy: presentation and management
title_short Mesenteric cyst in infancy: presentation and management
title_sort mesenteric cyst in infancy presentation and management
topic mesenteric
child
surgery
cyst
url https://www.panafrican-med-journal.com/content/article/26/191/pdf/191.pdf
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AT kechichenahla mesentericcystininfancypresentationandmanagement
AT hidourisaida mesentericcystininfancypresentationandmanagement
AT krichenimed mesentericcystininfancypresentationandmanagement
AT mosbahisana mesentericcystininfancypresentationandmanagement
AT ksiaaamine mesentericcystininfancypresentationandmanagement
AT sahnounlassad mesentericcystininfancypresentationandmanagement
AT mekkimongi mesentericcystininfancypresentationandmanagement
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