儿童因液体蓄积导致的腹胀复发：腹水还是囊肿？
Recurrence of abdominal distension due to fluid accumulation in a child: Ascites or a cyst?
作者信息
Barzegar Armineh, Esmaeili Dooki Mohammadreza, Hadipour Abbas, Pournasrollah Mohammad, Noreddini Hajighorban
机构信息
Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Clinical Research Development Center, Amirkola Children's Hospital, Babol University of Medical Sciences, Babol, Iran.
出版信息
Caspian J Intern Med. 2023 Summer;14(3):581-585. doi: 10.22088/cjim.14.3.581.
BACKGROUND
Abdominal distension in children can be caused by fluid accumulation due to ascites or large cysts.
CASE PRESENTATION
A 25-month-old girl was brought to the pediatric gastroenterology clinic with the chief complaint of nontraumatic acute abdominal pain. She had undergone paracentesis last year with a diagnosis of suspected ascites in another medical clinic. Moreover, a CT scan following paracentesis was reported to be normal. After a few months, she gradually developed abdominal distension again. Diagnostic evaluations along with biochemical parameters and imaging strongly suggested the presence of a cyst. The large mesenteric cyst was totally removed by surgery.
CONCLUSION
In conclusion, in the face of recurrence of abdominal fluid accumulation, mesenteric cysts should be considered despite the fact that abdominal CT scan is normal after paracentesis.
背景
儿童腹胀可能由腹水或大囊肿导致的液体蓄积引起。
病例介绍
一名25个月大的女孩因非创伤性急性腹痛为主诉被带到儿科胃肠病诊所。她去年在另一家诊所接受了腹腔穿刺术，诊断为疑似腹水。此外，腹腔穿刺术后的CT扫描报告显示正常。几个月后，她再次逐渐出现腹胀。诊断评估以及生化指标和影像学检查强烈提示存在囊肿。通过手术将大的肠系膜囊肿完全切除。
结论
总之，面对腹腔积液复发的情况，尽管腹腔穿刺术后腹部CT扫描正常，也应考虑肠系膜囊肿。
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