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. 2016 Sep;3(3):109-111.
doi: 10.1016/j.ijpam.2016.04.003. Epub 2016 May 24.

Mesenteric cyst(s) presenting as acute intestinal obstruction in children: Three cases and literature review

Deepa Makhija  1 , Hemanshi Shah  1 , Charu Tiwari  1 , Shalika Jayaswal  1 , Kiran Khedkar  1 , Mukta Waghmare  1
Affiliations

Mesenteric cyst(s) presenting as acute intestinal obstruction in children: Three cases and literature review

Deepa Makhija et al. Int J Pediatr Adolesc Med. 2016 Sep.

Abstract

Background and objectives: Mesenteric cysts are rare in paediatric age group and usually present as asymptomatic abdominal lumps. Acute presentations are uncommon and their preoperative diagnosis is difficult.

Design and settings: This is a retrospective observational study describing three children with mesenteric cysts who presented with symptoms and signs of acute intestinal obstruction.

Patients and methods: Three children with mesenteric cysts who presented with acute abdomen are described as per their age, presenting symptoms and signs, investigations, management, and outcome.

Results: The three children presented in emergency with symptoms and signs of acute intestinal obstruction. On exploration, all had mesenteric cyst and were managed by deroofing, marsupilisation and excision. All patients recovered uneventfully.

Conclusions: Presentation of mesenteric cyst as acute obstruction in paediatric age group is rare and preoperative diagnosis is difficult. The larger cysts are more likely to have an acute presentation.

Keywords: Acute obstruction; Enucleation; Marsupialization; Mesenteric cyst; Pediatric.

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Figures

Figure 1
Figure 1
X-ray of the patient revealing the intestinal obstruction.
Figure 2
Figure 2
Intra-operative image demonstrating a mesenteric cyst with serous fluid.
See this image and copyright information in PMC

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