Perforated rotated mesenteric cyst presenting as acute abdominal pain in a female paediatric patient: a case report.

IF 1.8 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Valerie Josephine Dirjayanto, Astrid Indrafebrina Sugianto, Riana Pauline Tamba
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引用次数: 0

Abstract

Introduction: While more than half of the cases are asymptomatic or mild in symptoms, mesenteric cysts can present clinically and radiologically similar to gynaecologic diseases.

Case illustration: A female child presented with worsening episodes of abdominal pain 1 day before admission. Abdominal x-ray suggested mechanical obstruction of the small bowel, and CT scan suggested ileal abnormality.

Discussion: During open surgery, we found two rotated chylous mesenteric cysts, accompanied with adhesions and jejunal perforation 57 cm from the ligament of Treitz. Cysts excision, adhesiolysis, ileo-ileal resection, and anastomosis were performed.

Conclusion: While rare and challenging to identify, mesenteric cysts should be kept in the differential diagnosis in female children presenting with abdominal pain.

穿孔旋转肠系膜囊肿表现为急性腹痛的女儿科患者:一个病例报告。
简介:虽然超过一半的病例无症状或症状轻微,但肠系膜囊肿的临床和放射学表现与妇科疾病相似。病例说明:一女患儿入院前1天腹痛加重。腹部x线提示机械性小肠梗阻,CT提示回肠异常。讨论:在开放手术中,我们发现两个旋转的乳糜肠系膜囊肿,伴粘连和空肠穿孔,距Treitz韧带57厘米。行囊肿切除、粘连松解、回肠-回肠切除术、吻合术。结论:虽然肠系膜囊肿罕见且难以识别,但在以腹痛为表现的女性儿童中应保留其鉴别诊断。
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来源期刊
CiteScore
3.90
自引率
11.10%
发文量
251
审稿时长
57 days
期刊介绍: Journal of Pediatric and Adolescent Gynecology includes all aspects of clinical and basic science research in pediatric and adolescent gynecology. The Journal draws on expertise from a variety of disciplines including pediatrics, obstetrics and gynecology, reproduction and gynecology, reproductive and pediatric endocrinology, genetics, and molecular biology. The Journal of Pediatric and Adolescent Gynecology features original studies, review articles, book and literature reviews, letters to the editor, and communications in brief. It is an essential resource for the libraries of OB/GYN specialists, as well as pediatricians and primary care physicians.
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