Fernández Ibieta M, Rojas Ticona J, Martinez Castaño I, Reyes Rios P, Villamil V, Giron Vallejo O, Mendez Aguirre N, Sanchez Morote J, Aranda Garcia M J, Guirao Piñera M J, Zambudio Carmona G, Ruiz Pruneda R, Ruiz Jiménez J I
Servicio de Cirugía Pediátrica, Hospital Universitario Virgen de la Arrixaca, Murcia, España.
Servicio de Cirugía Pediátrica, Hospital Universitario Virgen de la Arrixaca, Murcia, España.
An Pediatr (Barc). 2015 Jan;82(1):e48-51. doi: 10.1016/j.anpedi.2013.11.025. Epub 2014 Mar 11.
Mesenteric cysts (MC) are benign cystic tumors that grow within mesentery or omentum tissue. We have reviewed the cases of MC reported and operated on in our centre.
Retrospective review of clinical records of MC cases during the period 2002-2012 RESULTS: A total of 7 patients were found. Mean age was 5.3 years (range 3-11). Abdominal ultrasound was the diagnostic tool in all cases, except for one, which was diagnosed during laparotomy. All presented abdominal pain, 5 (71.4%) vomiting, 4 (57%) gross abdominal distension, 3 (42.8%) fever, and none presented complete abdominal obstruction, although 2 patients (28.6%) had slight sub-occlusion symptoms. All MC were pedicled or sesil, except for our last case, which extended into the retroperitoneum. All specimens were reported as Limphatic Malformation. None recurred.
MC in children are mostly Lymphatic Malformations of mesentery or omentum origin, and clinical presentation varies from chronic abdominal pain to sudden-onset peritonitis or volvulus. About 50-60% require intestinal resection and anastomosis.
肠系膜囊肿（MC）是一种生长于肠系膜或网膜组织内的良性囊性肿瘤。我们回顾了在本中心报告并接受手术治疗的MC病例。
对2002年至2012年期间MC病例的临床记录进行回顾性分析。结果：共发现7例患者。平均年龄为5.3岁（范围3至11岁）。除1例在剖腹手术时诊断外，所有病例均通过腹部超声诊断。所有患者均有腹痛，5例（71.4%）有呕吐，4例（57%）有明显腹胀，3例（42.8%）有发热，虽有2例患者（28.6%）有轻微不全梗阻症状，但均无完全性肠梗阻表现。除最后1例延伸至腹膜后间隙外，所有MC均有蒂或无蒂。所有标本报告为淋巴管畸形。无一例复发。
儿童MC大多为肠系膜或网膜起源的淋巴管畸形，临床表现从慢性腹痛到突发腹膜炎或肠扭转不等。约50%至60%的患者需要进行肠切除吻合术。
