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2015, Number 5

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Acta Pediatr Mex 2015; 36 (5)

Acute abdomen caused by an infected mesenteric cist

Palacios-Acosta JM, Carrasquel-Valecillos V, León-Hernández A, Echávez-del Riego J, Castañeda-Bochm FR, Hernández-Arrazola D

Language: Spanish
References: 25
Page: 397-401
PDF size: 715.96 Kb.


ABSTRACT

Mesenteric cysts are benign intra-abdominal lesions, which grow at the expense of the intestinal of the lymphatics, more frequent in the ileal mesentery and rare in children. The cause of an acute abdomen in children is hard to define as it is the clinical picture of multiple conditions; the main symptom is severe abdominal pain, one of the reasons most often source of consultation in the pediatric emergency department. Mesenteric cysts are unusual and are estimated to occur in one in 100,000 admissions for acute pediatric abdomen. The study of choice for the diagnosis is ultrasound (USG) abdominal. Optimal treatment is complete resection of the cyst. We present case of a girl with an abdominal tumor, admitted for study. The patient presents peritoneal irritation which required an exploratory laparotomy during which a rupture infected cyst was found in the mesentery. A left hemicolectomy was performed and the abdominal cavity was washed. A single neck colostomy was done. A three month after surgery intestinal normal transit was successfully performed.


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