Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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A Case of Mesenteric Cyst in a 4-Year-Old Child with Acute Abdominal Pain

  • Yoon, Jae Woong (Department of Pediatrics, Wonkwang University School of Medicine) ;
  • Choi, Du Young (Department of Pediatrics, Wonkwang University School of Medicine) ;
  • Oh, Yeon Kyun (Department of Pediatrics, Wonkwang University School of Medicine) ;
  • Lee, Seung Hyun (Department of Pediatrics, Wonkwang University School of Medicine) ;
  • Gang, Dong Baek (Department of General Surgery, Wonkwang University School of Medicine) ;
  • Yu, Seung Taek (Department of Pediatrics, Wonkwang University School of Medicine)
  • Received : 2016.10.06
  • Accepted : 2016.11.05
  • Published : 2017.12.30
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Abstract

Mesenteric cysts are rare intra-abdominal lesions occurring during childhood, which were first described in 1507. Cases of mesenteric cysts have been continuously reported, but these cases were very small in number. They are often asymptomatic and incidentally found while patients are undergoing work-up or receiving treatment for other conditions such as appendicitis, small-bowel obstruction, or diverticulitis; however, patients may still have lower abdominal pain and symptoms that are frequently associated with other abdominal conditions. The symptoms are variable and non-specific, including pain (82%), nausea and vomiting (45%), constipation (27%), and diarrhea (6%). An abdominal mass may be palpable in up to 61% of patients. We are to report the clinical course and literature of a child with mesenteric cysts who complained of acute abdominal pain, distension, and vomiting and were surgically treated after being diagnosed with mesenteric cysts based on radiological examination.

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References

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