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婴儿和儿童肠系膜囊肿所致肠扭转;病例报告

Volvulus Due to Mesenteric Cysts in Infants and Children; A Case Report.

作者信息

Romadhon Brenda Desy, Pratama Henggar Allest, Candy Gilang Vigorous Akbar Eka, Kosasih Jane, Supangat Supangat, Qodar Tegar Syaiful, Tohari Achmad Ilham, Mulyono Bagus Wahyu, Hidayat Muhammad Rijal Fahrudin, Nugrah Muhammad Yuda

机构信息

Emergency Department, Dr. Soebandi Hospital, Jember 68111, Indonesia.

Medical Doctor, Citra Husada Hospital, Jember 68111, Indonesia.

出版信息

Middle East J Dig Dis. 2022 Oct;14(4):483-487. doi: 10.34172/mejdd.2022.311. Epub 2022 Oct 30.

DOI:10.34172/mejdd.2022.311
PMID:37547500
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10404104/
Abstract

Mesenteric cysts are defined as benign intra-abdominal tumors located in the mesentery. It was a rare disease with an incidence of 1:20000 in children. The most common location was in the small bowel mesentery. Most patients with mesenteric cysts are asymptomatic and have unspecific symptoms like dyspepsia, abdominal enlargement, and abdominal pain. The fewer others could present with an acute abdomen. We describe two cases of volvulus due to the mesenteric cyst; one case in an infant and one case in a child. There is a different clinical presentation and histopathology between infants and children. In the infant, it presented with an acute abdomen, while in the child acute abdomen was not present. We found a chylous cyst in the child while the enterogenous cyst was present in the infant. We found a volvulus due to the mesentery cyst in the infant. This comparison of mesenteric cysts between the infant and the child could help to diagnose mesenteric cysts, especially in infants.

摘要

肠系膜囊肿被定义为位于肠系膜内的良性腹腔内肿瘤。它是一种罕见疾病,在儿童中的发病率为1:20000。最常见的部位是小肠系膜。大多数肠系膜囊肿患者无症状,有消化不良、腹部膨隆和腹痛等非特异性症状。少数患者可表现为急腹症。我们描述了两例因肠系膜囊肿导致的肠扭转病例;一例发生在婴儿,一例发生在儿童。婴儿和儿童的临床表现和组织病理学有所不同。婴儿表现为急腹症,而儿童未出现急腹症。我们在儿童中发现了一个乳糜囊肿,而婴儿中存在肠源性囊肿。我们在婴儿中发现了因肠系膜囊肿导致的肠扭转。对婴儿和儿童肠系膜囊肿的这种比较有助于诊断肠系膜囊肿,尤其是在婴儿中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1912/10404104/fcfe7b4033a7/mejdd-14-483-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1912/10404104/51f924aa30e9/mejdd-14-483-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1912/10404104/4b3ac02c505d/mejdd-14-483-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1912/10404104/986d02dfb6c2/mejdd-14-483-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1912/10404104/fcfe7b4033a7/mejdd-14-483-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1912/10404104/51f924aa30e9/mejdd-14-483-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1912/10404104/4b3ac02c505d/mejdd-14-483-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1912/10404104/986d02dfb6c2/mejdd-14-483-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1912/10404104/fcfe7b4033a7/mejdd-14-483-g004.jpg

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本文引用的文献

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A Case Report of a Huge Mesenteric Cyst in a 5-Year-Old Girl: A Rare and Challenging Finding in Radiological Assessment.一名5岁女孩巨大肠系膜囊肿病例报告:放射学评估中罕见且具有挑战性的发现
Adv J Emerg Med. 2019 Sep 18;4(2):e31. doi: 10.22114/ajem.v0i0.201. eCollection 2020 Spring.
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Giant sixteen kilogram lymphangioma mesenteric cyst: An unusual presentation of a rare benign tumour.巨大的16千克肠系膜淋巴管瘤性囊肿:一种罕见良性肿瘤的不寻常表现。
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Mesenteric cyst(s) presenting as acute intestinal obstruction in children: Three cases and literature review.
以急性肠梗阻为表现的儿童肠系膜囊肿:三例报告及文献复习
Int J Pediatr Adolesc Med. 2016 Sep;3(3):109-111. doi: 10.1016/j.ijpam.2016.04.003. Epub 2016 May 24.
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Mesenteric cyst in infancy: presentation and management.婴儿期肠系膜囊肿:临床表现与治疗
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Mesenteric Cyst in Association with Type-II Jejunoileal Atresia.肠系膜囊肿合并Ⅱ型空肠闭锁
J Neonatal Surg. 2017 Jan 1;6(1):17. doi: 10.21699/jns.v5i4.462. eCollection 2017 Jan-Mar.
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Clinical features of mesenteric lymphatic malformation in children.儿童肠系膜淋巴管瘤的临床特征
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Chylous mesenteric cyst: A diagnostic dilemma.乳糜性肠系膜囊肿:诊断难题。
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