Pediatric chylolymphatic mesenteric cyst: A rare entity

Kalyan, Sonu; Sharma, Jyoti

doi:10.4103/ccij.ccij_6_16

Cited by 2 publications

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“…The mean age of children having chylolymphatic cyst is 4.9 years. 6 The chylolymphatic cyst may be asymptomatic or may present as acute abdomen with intestinal obstruction. Usually these are asymptomatic, but they may generate symptoms due to direct compression on adjacent organs or by producing stretch on the mesentery by rapid growth.…”

Section: Introductionmentioning

confidence: 99%

Chylolymphatic Cysts in Children: A Rare Condition

Anjum¹,

Ansari²,

Mustafa³

et al. 2021

PJMHS

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Objective: To find out the clinical findings, anatomical types and preferred operative treatment for paediatric chylolymphatic cysts. Study Design: Prospective study Place and Duration of Study: Department of Pediatric Surgery/General Surgery Bahawal Victoria Hospital, Bahawalpur and Department of Pediatric Surgery/General Surgery Unit-ll, DHQ Teaching Hospital, Dera Ghazi Khan from 1st January 2018 to 31st December 2020 Methodology: Fifteen patients of either gender with age from 18 months to 8 years (96 months) enrolled. Clinical data of all the patients diagnosed as chylolymphatic cyst on exploration was recorded. Results: There were 8 (53.3%) females and 7 (46.7%) males with mean age was 49.80±27.07 (months). Four patients (26.66%) presented with abdominal mass, 5 patients (33.33%) presented with abdominal pain, 1 patient (6.66%) with abdominal mass and pain while 5 patients (33.33%) presented with signs of intestinal obstruction. Three (20%) had cysts at multiple sites, i.e., mesentery of jejunum, ileum and mesentery of sigmoid colon, 5 (33.33%) patients had cysts in jejunal mesentery while 9 (53.33%) patients’ cyst was found in ileal mesentery and 1 (6.66%) had cyst in mesentery of cecum. Fourteen underwent exploratory laparotomy and 1 was managed laparoscopically. Post-operative recovery in 14 patients was uneventful and 1 patient managed by open surgery underwent respiratory complications and later expired. No recurrence was noted during follow up period up to 6 months. Conclusion: Surgical exploration and surgical excision and sometimes resection anastomosis of gut is mainstay of treatment with excellent results. Key words: Paediatric mass abdomen, Mesenteric cysts, Chylolymphatic cyst, Paediatric surgery

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Section: Introductionmentioning

confidence: 99%