Mesenteric Cyst in a 5-Year-Old Child with Partial abdominal Obstruction: Case Report from Bahrain

Benign intra-abdominal cystic masses in infancy are fairly uncommon and their etiopathogenesis, histology and clinical presentation differ significantly. Our aim is to report our experience in their treatment in order to discuss the best diagnostic and treatment modality. The medical records of 5 children (2M, 3F) with cystic intraabdominal masses referred to our hospital between November 2012 and September 2016, were retrospectively reviewed. All patients underwent open surgery and subsequent histopathologic analysis. Different clinical presentations, localizations of the masses, diagnostic tools, surgical approaches, histological examinations and outcomes were reviewed. Patients mean age was 5.4 years (range: 8 months-9 years). Two patients presented recurrent abdominal pain and abdominal distension; 1 patient had a palpable mass discovered incidentally and 2 complained acute abdominal pain. Routine laboratory tests, tumor markers and abdominal ultrasound were immediately done in all patients. Three patients underwent MRI and 1 abdominal CT. At laparotomy 2 hepatic cysts, 2 mesenteric cyst and 1 retroperitoneal cyst were discovered. Histology reports described: 1 hepatobiliary cystadenoma, 1 benign hepatic hamartoma and 3 cystic lymphangiomas (1 retroperitoneal and 2 mesenteric). There were no major postoperative complications, deaths, or recurrences in our series (follow-up 3-24 months). Despite the rarity of these lesions, benign cystic abdominal masses in children are not so uncommon and should be considered as causes of acute abdominal pain. The differential diagnosis is not always possible preoperatively. In our series, radical excision of the lesions was possible in all cases, allowing reliable histological results and avoiding recurrences.

Download Full-text

MESENTERIC CYSTS IN INFANCY AND CHILDHOOD

PEDIATRICS ◽

10.1542/peds.24.3.469 ◽

1959 ◽

Vol 24 (3) ◽

pp. 469-476

Author(s):

Ernest E. Arnheim ◽

Herman Schneck ◽

Alex Norman ◽

David H. Dreizin

Keyword(s):

Abdominal Pain ◽

Operative Mortality ◽

Intestinal Wall ◽

Additional Case ◽

Diagnosis And Treatment ◽

Mesenteric Cyst ◽

Safe Procedure ◽

Infancy And Childhood ◽

Mesenteric Cysts ◽

Radiologic Features

The pathologic, clinical and radiologic features, diagnosis and treatment of mesenteric cysts in infancy and childhood, based upon a study of 82 cases in the literature, are discussed. An additional case of mesenteric cyst is presented. Mesenteric cysts were usually noted in male children from 2 to 10 years of age, presenting with abdominal enlargement and abdominal pain, and revealing characteristic roentgenographic findings. Excision of the cyst was often complicated by adhesions to the intestinal wall; simultaneous resection of the involved intestine has become a safe procedure, with an operative mortality of 7% in recent years.

Download Full-text

MUCINOUS MESENTERIC CYST OF SIGMOID MESOCOLON : A RARE ENTITY

10.36106/gjra/8000880 ◽

2021 ◽

pp. 22-23

Author(s):

K.Prasanth Kumar ◽

A.D.V. Lavanya ◽

P.Surendra Reddy

Keyword(s):

Computed Tomography ◽

Abdominal Pain ◽

Small Bowel ◽

Physical Examination ◽

Mesenteric Cyst ◽

Rare Entity ◽

Small Bowel Mesentery ◽

Mesenteric Cysts ◽

Sigmoid Mesocolon

Mesenteric cysts are rare and occur in patients of any age. They are asymptomatic and found incidentally or during the management of their complications. They commonly originate from the small bowel mesentery, although a proportion of them have been found to originate from the mesocolon (24%) and the retroperitoneum [1] [2,3,4,5] (14.5%). A mesenteric cyst originating in the sigmoid mesocolon is a very rare nding. They are a rare cause of abdominal pain and are discovered incidentally. If symptomatic, patients with these cysts present with abdominal pain, vomiting and low backache. Performing a thorough physical examination and conducting radiological investigations like ultrasonography (USG), computed tomography (CT) are keys in diagnosing the mesenteric cysts.

Download Full-text

Gallbladder Stones, Cholecystitis and Cholecystectomy in Patients on Continuous Ambulatory Peritoneal Dialysis

Peritoneal Dialysis International ◽

10.1177/089686088400400416 ◽

1984 ◽

Vol 4 (4) ◽

pp. 245-248 ◽

Cited By ~ 10

Author(s):

William Nelson ◽

Ramesh Khanna ◽

Raymond Mathews ◽

Harry Yeung ◽

George Wu ◽

...

Keyword(s):

Abdominal Pain ◽

Peritoneal Dialysis ◽

Ultrasound Examination ◽

Clinical Course ◽

Gallbladder Disease ◽

Abdominal Ultrasound ◽

Toronto Western Hospital ◽

The Past ◽

Possible Cause ◽

Abdominal Ultrasound Examination

This paper describes a prospective three-year study using abdominal ultrasound examination in 114 new CAPD patients. Gallbladder disease was common (22.8%) and four of 16 patients with gallstones (25%) required cholecystectomy after 1–14 (i 7.8 months) on CAPD. Two of these four had evidence of peritonitis in association with cholecystitis. Also we analyzed the clinical course of eight patients on chronic PD who underwent cholecystectomy. They had no serious morbidity, and all returned to chronic PD. While abdominal pain is one of the main features of CAPD-related peritonitis, other causes of abdominal pain may be more difficult to evaluate in the patient on peritoneal dialysis (PD); such causes potentially are more serious because they threaten the continuance of PD as a mode of therapy. Cholecystitis related to cholelithiasis is one such possible cause of abdominal pain. However, since ultrasonography can reliably and non-invasively detect the presence of gallstones, we have used it prospectively to screen patients entering our CAPD training program. This paper reports our findings and the subsequent course of those found to have gallstones during a three-year period. In addition we also reviewed the feasibility of cholecystectomy, its hazards and outcome in eight patients on chronic peritoneal dialysis who underwent this procedure at Toronto Western Hospital in the past seven years.

Download Full-text

Treatment: abdomen

10.1093/med/9780199688418.003.0013_update_001 ◽

2018 ◽

Author(s):

Chris Imray ◽

Sarah R. Anderson ◽

Tim Campbell-Smith ◽

Jane Wilson-Howarth

Keyword(s):

Abdominal Pain ◽

Gastrointestinal Bleeding ◽

Acute Abdominal Pain ◽

Lower Abdominal Pain ◽

Scrotal Pain ◽

Acute Scrotal Pain ◽

Gastrointestinal Problems ◽

Upper Abdominal

Acute abdominal pain - Upper abdominal pain - Lower abdominal pain - Gastrointestinal bleeding - Diarrhoea and vomiting - Other gastrointestinal problems - Urological problems - Acute scrotal pain - Gynaecological problems

Download Full-text

A case report: Acute abdominal pain caused by a mesenteric cyst in a 20 years old female patient

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2019.12.004 ◽

2020 ◽

Vol 50 ◽

pp. 28-30 ◽

Cited By ~ 1

Author(s):

Irene Cantarero Carmona ◽

José Fernando Trebollé ◽

Daniel Milian García ◽

María José Luesma Bartolomé

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Female Patient ◽

Acute Abdominal Pain ◽

Mesenteric Cyst

Download Full-text

Abdominal Pain and Abdominal Mass

10.2310/tywc.2001 ◽

2018 ◽

Author(s):

Blake D. Babcock ◽

Alexander E. Poor ◽

Mohammad F. Shaikh ◽

Wilbur B. Bowne

Keyword(s):

Differential Diagnosis ◽

Abdominal Pain ◽

Physical Examination ◽

Acute Abdominal Pain ◽

Abdominal Mass ◽

Gastroesophageal Junction ◽

Percutaneous Biopsy ◽

Clinical History ◽

Diagnostic Process ◽

Abdominal Masses

Acute abdominal pain and abdominal mass are intimately connected; therefore, the diagnostic process for evaluating abdominal pain and abdominal masses is largely the same and has been preserved since ancient times. The primary goals in the management of patients with abdominal pain and/or abdominal mass are to establish a differential diagnosis by obtaining a clinical history, to refine the differential diagnosis with a physical examination and appropriate studies, and to determine the role of operative intervention in the treatment or refinement of the working diagnosis. This review describes the process of diagnosing abdominal pain, including taking a clinical history and performing a physical examination. Investigative studies, including laboratory tests, imaging, and pathology are reviewed. Management, including surgical treatment, is discussed. Tables describe intraperitoneal and extraperitoneal causes of acute abdominal pain, frequency of specific diagnoses in patients with acute abdominal pain, and common abdominal signs and findings noted on physical examination. Figures show abdominal pain in specific locations, a data sheet, the differential diagnosis of an abdominal mass by quadrant or region, characteristic patterns of abdominal pain, acute appendicitis with associated appendicolith, bilateral adrenal masses, adrenocortical carcinoma, retroperitoneal leiomyosarcoma, pancreatic mass, a sagittal ultrasonogram of the pancreas, ultrasonograms of the liver, a dark and well circumscribed abdominal mass, gastroesophageal junction adenocarcinoma, and percutaneous biopsy of a large abdominal mass. An algorithm outlines the assessment of acute abdominal pain and abdominal mass. This review contains 14 figures, 5 tables, and 143 references.

Download Full-text

Torsion of vermiform appendix: case report and review of the literature

Surgical Case Reports ◽

10.1186/s40792-020-0771-x ◽

2020 ◽

Vol 6 (1) ◽

Cited By ~ 2

Author(s):

Kosuke Endo ◽

Masahito Sato ◽

Kenichi Saga ◽

Atsushi Higashio ◽

Yoshiaki Yuba ◽

...

Keyword(s):

Abdominal Pain ◽

Acute Appendicitis ◽

Rare Disease ◽

Treatment Plan ◽

Laboratory Data ◽

Lower Abdominal Pain ◽

Emergency Operation ◽

Abdominal Ultrasound ◽

Vermiform Appendix ◽

Ileocecal Region

Abstract Background Torsion of the vermiform appendix is a rare disease with symptoms very similar to those of acute appendicitis. We herein report a case of torsion of the vermiform appendix diagnosed by intraoperative findings. Case presentation A 4-year-old boy presented to our hospital because of abdominal pain and vomiting. Laboratory data revealed a C-reactive protein level of 0.08 mg/dL and white blood cell count of 19,300/μL (neutrophils, 88.9%). Abdominal ultrasound showed a target sign-like finding in the ileocecal region. A computed tomography scan showed swelling of the appendix. We performed an emergency operation under suspicion of acute appendicitis. Laparoscopic examination showed that the appendix had twisted 720° in the clockwise direction. Appendectomy was performed, and the postoperative course was uneventful. Conclusions Although torsion of the vermiform appendix is a very rare disease and difficult to differentiate from appendicitis, an inappropriate treatment plan could lead to necrosis and perforation of the appendix. It is important to consider this disease as a differential diagnosis in patients with right lower abdominal pain.

Download Full-text

Abdominal Pain and Abdominal Mass

10.2310/surg.2001 ◽

2020 ◽

Author(s):

Madison M. Crutcher ◽

Darshak S. Thosani ◽

Mohammad F. Shaikh ◽

Wilbur B. Bowne

Keyword(s):

Differential Diagnosis ◽

Abdominal Pain ◽

Physical Examination ◽

Acute Abdominal Pain ◽

Abdominal Mass ◽

Gastroesophageal Junction ◽

Percutaneous Biopsy ◽

Clinical History ◽

Diagnostic Process ◽

Abdominal Masses

Acute abdominal pain and abdominal mass are intimately connected; therefore, the diagnostic process for evaluating abdominal pain and abdominal masses is largely the same and has been preserved since ancient times. The primary goals in the management of patients with abdominal pain and/or abdominal mass are to establish a differential diagnosis by obtaining a clinical history, to refine the differential diagnosis with a physical examination and appropriate studies, and to determine the role of operative intervention in the treatment or refinement of the working diagnosis. This review describes the process of diagnosing abdominal pain, including taking a clinical history and performing a physical examination. Investigative studies, including laboratory tests, imaging, and pathology are reviewed. Management, including surgical treatment, is discussed. Tables describe intraperitoneal and extraperitoneal causes of acute abdominal pain, frequency of specific diagnoses in patients with acute abdominal pain, and common abdominal signs and findings noted on physical examination. Figures show abdominal pain in specific locations, a data sheet, the differential diagnosis of an abdominal mass by quadrant or region, characteristic patterns of abdominal pain, acute appendicitis with associated appendicolith, bilateral adrenal masses, adrenocortical carcinoma, retroperitoneal leiomyosarcoma, pancreatic mass, a sagittal ultrasonogram of the pancreas, ultrasonograms of the liver, a dark and well circumscribed abdominal mass, gastroesophageal junction adenocarcinoma, and percutaneous biopsy of a large abdominal mass. An algorithm outlines the assessment of acute abdominal pain and abdominal mass. This review contains 16 figures, 5 tables, and 164 references. Keywords: anatomy, swellings, inflammatory, opioid, palpatation, PET, COVID 19

Download Full-text

Treatment: abdomen

10.1093/med/9780199688418.003.0013 ◽

2015 ◽

Author(s):

Chris Imray ◽

Sarah R. Anderson ◽

Tim Campbell-Smith ◽

Jane Wilson-Howarth

Keyword(s):

Abdominal Pain ◽

Gastrointestinal Bleeding ◽

Acute Abdominal Pain ◽

Lower Abdominal Pain ◽

Scrotal Pain ◽

Acute Scrotal Pain ◽

Gastrointestinal Problems ◽

Upper Abdominal

Acute abdominal pain - Upper abdominal pain - Lower abdominal pain - Gastrointestinal bleeding - Diarrhoea and vomiting - Other gastrointestinal problems - Urological problems - Acute scrotal pain - Gynaecological problems

Download Full-text