Álvarez-Solís RM, Francisco-Javier Chagolla-Santillán, Quero-Hernández A, Vargas-Vallejo MP, Cisneros-Ajuria R, Bulnes-Mendizábal D

Language: Spanish
References: 23
Page: 20-23
PDF size: 109.04 Kb.

ABSTRACT

Introduction: Mesenteric cysts are intra-abdominal formations that present an incidence of 1:20,000 admissions in the infantile area. We reviewed the 15-year casuistry at a hospital in Villahermosa, Tabasco State.
Material and methods: It was performed a retrospective review on the cases of mesenteric cysts diagnosed from the years of 1993 to 2008 at a hospital in Villahermosa City, Tabasco State, Mexico. We analyzed the sociodemographic variables, the clinical record, the physical examination, the auxiliaries for the diagnosis, the findings, and the surgical procedure, as well as the histopathology diagnosis. A descriptive statistical method of analysis was used.
Results: We studied 21 cases in 15 years, with ages ranging from one month to 12 years old. The clinical frame was characterized by abdominal pain (11), absence of defecation, vomits or fever. At the moment of the physical examination, it was found palpable mass, abdominal distension or signs or peritoneal irritation, and five cases presenting intestinal occlusion. The affected area was the ileum in 15 patients, the colon in 3 cases, the jejunum in one patient, and the omentum in two cases.
Discusion: This series of cases of mesenteric cysts at the «Dr. Rodolfo Nieto Padrón» Infantile Hospital in Villahermosa, Tabasco, with 21 cases in 15 years, shows a frequency of 4 in 20,000 admissions, the greatest reported amount up to date.

REFERENCES

1. Rivas ML, Asensio JA, Forno W, Petrone P, Roldan G, García W. Quistes mesentéricos. Cir Gen; 2002, 24(1): 61-65.

2. Beahrs OH, Judo ES, Dockerly MB. Symposium on abdominal surgery; chylous cysts of the abdomen. Surg Clin North America 1950; 302: 1081-1096.

3. Okur H, Kucukadin M, Ozokutan BH. Mesenteric, omental and retroperitoneal cysts in children. Euro J Surg 1997; 163(9): 673-677.

4. Mennemeyer R, Smith M. Multicystic, peritoneal mesothelioma: a report with electron microscopy of a case mimicking intraabdominal cystic hygroma. (lymphangioma). Cancer 1979; 44: 692-698.

5. De Perrot M, Bründler MA, Totsch M, Mentha G, Morel P. Mesenteric cyst. Toward less confusion? Dig Sig 2000, 17: 323-328.

6. Skandalakis JE, Gray SW, Ricketts RR. The lymphatic system. In: Skandalakis JE, Gray SW, eds. Embryology for Surgeons. 2nd ed. Baltimore, Md: Lippincott Williams & Wilkins; 1994: 891-897.

7. Mennecier D et al. Mesenteric cystic lymphangioma. Presse Med. 1999; 28(12): 629-631.

8. Ricketts RR. Mesenteric and omental cysts. Pediatric Surgery 1998; 5: 1269-1275.

9. Huis M, Balija M, Lez C, Szerda F, Stulhofer M. Mesenteric cysts. Acta Med Croatica 2002; 56(3): 119-124.

10. Kurtz RJ, Heimann TM, Beck AR et al. Mesenterio and retroperitoneal cysts. Ann Surg 1986; 203: 109.

11. Vialat SV, Labrada AE, Sandin HN et al. Quistes del mesenteric y epiplón en niños: Estudio de 20 años. Rev Cubana Pediatr 2004; 76: 3-5.

12. Egozi EI, Ricketts RR. Mesenteric and omental cysts in children. Am Surg 1997; 63(3): 287-290.

13. Chung MA, Brandt ML, St-Vil D, Yazbech S. Mesenterio cysts in children. J Pediatr Surg 1991; 26: 1306.

14. Bliss DP Jr, Coffin CM, Bower RJ et al. Mesenteric cysts in children. Surgery 1994; 115(5): 571-577.

15. Emir H, Yesildaq E, Sahin I, Tekant G, Senyuz OF. A case of mesenteric cyst caused by abdominal tuberculosis. Eur J Pediatr Surg 2000; 6: 402-403.

16. Hebra A, Brown MF, Mc Geehin KM et al. Mesenteric, omental, and retroperitoneal cysts in children: a clinical study of 22 cases. South Med J 1993: 86: 173.

17. Alvarado RG, Uribe EV, Gallego GJ et al. Quistes de epiplón y mesenterio en niños. Act Pediatr Méx 2001; 22(5): 332-336.

18. Luo CC, Huang CS, Chao HC et al. Intra-abdominal cystic lymphangiomas in infancy and childhood. Chang Gung Med J 2004; 27(7): 509-512.

19. Wootton-Gorges SL, Thomas KB, Harned RK et al. Giant cystic abdominal masses in children. Pediatr Radiol 2005; 35(12): 1277-1288.

20. Feins NR, Raffensperger JG. Cystic hygroma, lymphangioma, and lymphedema. In: Raffensperger JG, ed. Swenson’s Pediatric Surgery. 5th ed. Norwalk, Conn: Appleton & Lange; 1990: 172-173.

21. Prasad KK, Jain M, Gupta RK. Omental cyst in children presenting as pseudoascites: report of two cases and review of the literature. Indian J Pathol Microbiol 2001; 44(2): 153-155.

22. Alqahtani A, Nguyen LT, Flageole H et al. Twenty five years experience with lymphangiomas in children. J Pediatr Surg 1999; 34(7): 1164-1168

23. Wong SW, Gardner V. Sudden death in children due to mesenteric defect and mesenteric cyst. Am J Forensic Med Pathol 1992; 13(3): 214-216.