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Candussi IL, Petecariu A, Lungu M, Busila C, Mihailov R, Neagu A, Lungu CN, Sarbu I, Ciongradi CI. Giant Intraabdominal Lymphangioma in a Pediatric Patient-A Challenging Diagnosis. Clin Pract 2024; 14:739-748. [PMID: 38804391 DOI: 10.3390/clinpract14030059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2024] [Revised: 04/17/2024] [Accepted: 04/18/2024] [Indexed: 05/29/2024] Open
Abstract
Introduction: Intra-abdominal cystic formations represent heterogeneous pathologies with varied localization and clinical manifestation. The first challenge of a giant intra-abdominal cystic lesion is identifying the organ of origin. The clinical presentation of intra-abdominal cystic lesions varies from acute manifestations to non-specific symptoms or accidental discovery. Case presentation: A 2-year-old girl presents to the emergency unit with a fever of 38.5 Celsius, loss of appetite, and apathy. The investigations showed a gigantic intra-abdominal mass whose organ belonging could not be specified. Postoperatively, a giant mesenteric lymphangioma was evident, which was completely excised. Discussion: Giant cystic formations modify the anatomical reports and become space-replacing formations, and the starting point is even more challenging to assess preoperatively. Nevertheless, the careful evaluation of the characteristics of the formation, the effect on the adjacent organs, the age of the patient, and the clinical picture can provide elements of differential diagnosis. The stated purpose of this work is to systematize intra-abdominal lesions according to the organ of origin and to make the preoperative diagnosis of an intra-abdominal cystic lesion in the pediatric patient easy to perform starting from the presented case.
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Affiliation(s)
- Iuliana-Laura Candussi
- Department of Pediatric Surgery, Clinical Country Children Emergency Hospital, Faculty of Medicine and Pharmacy, 'Dunarea de Jos' University, 800010 Galati, Romania
| | - Alexandru Petecariu
- Department of Pediatric Surgery, Clinical Country Children Emergency Hospital, Faculty of Medicine and Pharmacy, 'Dunarea de Jos' University, 800010 Galati, Romania
| | - Mirela Lungu
- Department of Pediatric Surgery, Clinical Country Children Emergency Hospital, Faculty of Medicine and Pharmacy, 'Dunarea de Jos' University, 800010 Galati, Romania
| | - Camelia Busila
- Department of Pediatric Surgery, Clinical Country Children Emergency Hospital, Faculty of Medicine and Pharmacy, 'Dunarea de Jos' University, 800010 Galati, Romania
| | - Raul Mihailov
- Department of Surgery, Clinical Country Emergency Hospital, 800578 Galati, Romania
| | - Anca Neagu
- Department of Pathology, Clinical Country Children Emergency Hospital, Faculty of Medicine and Pharmacy, 'Dunarea de Jos' University, 800010 Galati, Romania
| | - Claudiu N Lungu
- Department of Functional and Morphological Science, Faculty of Medicine and Pharmacy, 'Dunarea de Jos' University, 800010 Galati, Romania
| | - Ioan Sarbu
- 2nd Department of Surgery-Pediatric Surgery and Orthopedics, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iași, Romania
| | - Carmen I Ciongradi
- 2nd Department of Surgery-Pediatric Surgery and Orthopedics, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iași, Romania
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2
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Zhou M, Luo E, Chen W, Ding M. Multilocular cystic nephroma: A case report. Asian J Surg 2024; 47:1244-1245. [PMID: 38030487 DOI: 10.1016/j.asjsur.2023.11.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Accepted: 11/10/2023] [Indexed: 12/01/2023] Open
Affiliation(s)
- Mengdi Zhou
- Department of Urology Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming, 650101, China
| | - Enxiu Luo
- Department of Urology Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming, 650101, China
| | - Wujie Chen
- Department of Urology Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming, 650101, China
| | - Mingxia Ding
- Department of Urology Surgery, The Second Affiliated Hospital of Kunming Medical University, No.374 Dian-Mian Avenue, Kunming, 650101, China.
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3
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Matsushita N, Kaneko K, Kato S, Odashima T, Kondo R, Fukuyama T, Saito T, Fukami Y, Komatsu S, Sano T. Laparoscopic complete excision of an enormous simple hepatic cyst occupying the entire abdomen in a child: a case report and literature review. Surg Case Rep 2022; 8:87. [PMID: 35522346 PMCID: PMC9076767 DOI: 10.1186/s40792-022-01445-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 04/29/2022] [Indexed: 11/16/2022] Open
Abstract
Background Simple hepatic cysts are common lesions in adults, but rare in children. Because of their benign nature, simple hepatic cysts may not be detected until they grow too large to be diagnosed and resected in a minimally invasive manner. Case presentation An 18-month-old girl presented with an enormous cyst occupying the entire abdomen. The beak sign on computed tomography revealed the hepatic origin of the cyst. The cyst was decompressed through the umbilicus, which was opened by the three-triangular-skin-flap technique, thus creating a working space that enabled laparoscopic surgery. The cyst was excised en bloc together with the attached hepatic parenchyma. Conclusions Giant simple hepatic cysts occupying the entire abdomen are rare in children. Of 14 reported cases, only 1 underwent laparoscopic treatment. We have herein reported another case of a giant simple hepatic cyst in which the beak sign on imaging and the three-triangular-skin-flap umbilical opening technique were useful for its diagnosis and laparoscopic excision, respectively. Complete excision is desirable because there is a possibility of recurrence or other diseases that require total removal, including hydatid cysts and mesenchymal hamartomas.
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Affiliation(s)
- Nozomi Matsushita
- Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan
| | - Kenitiro Kaneko
- Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan.
| | - Shoko Kato
- Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan
| | - Takayuki Odashima
- Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan
| | - Remi Kondo
- Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan
| | - Takahiro Fukuyama
- Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan
| | - Takuya Saito
- Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan
| | - Yasuyuki Fukami
- Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan
| | - Shunichiro Komatsu
- Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan
| | - Tsuyoshi Sano
- Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan
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NAZLI MA, BARUT AY, KILIÇKESMEZ Ö. The Role of Tissue Harmonic Ultrasonography and Computerized Tomography in the Diagnosis of Intraabdominal Cystic Lesions. İSTANBUL GELIŞIM ÜNIVERSITESI SAĞLIK BILIMLERI DERGISI 2021. [DOI: 10.38079/igusabder.964865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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5
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Prevalence of Cystic Lesions in Parenchymal Abdominal Organs. ARS MEDICA TOMITANA 2021. [DOI: 10.2478/arsm-2021-0020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Abstract
Introduction: Abdominal cystic lesions can be localized either in parenchymal or non-parenchymal organs and can be acquired or congenital. Knowing the characteristic imaging features as well as demographic data and the prevalence of cystic lesions can help radiologists in establishing the correct diagnosis. In this article, we conducted a statistical study of congenital and acquired cystic lesions of the abdomen, diagnosed by CT scan in patients hospitalized in Emergency Clinical County Hospital of Constanţa in years 2019 - 2020.
Material and methods: The retrospective study included 285 patients admitted to the hospital. In the case of each patient, we recorded the following variables: Age, Sex, Localization of the lesion, Types of cysts for each localization.
Results: The average age of the patients is 61.53 years. Most of the cystic lesions were localized in the liver (182 cases) and they were represented by: hydatid cysts, simple hepatic cysts, hepatic abscess, hepato-renal polycystic disease and hepatic adenocarcinoma. Cystic lesions of the kidney (56 cases) were represented by: autosomal dominant polycystic kidney disease, renal carcinoma, simple renal cysts, acquired polycystic renal disease, tuberous sclerosis, clear cell renal carcinoma and von Hippel Lindau syndrome. Cystic lesions of pancreas (47 cases) were represented by: pancreatic cysts, pancreatic pseudocysts and pancreatic adenocarcinoma.
Conclusions: CT examination is extremely useful in establishing the location, type, imaging characteristics of cystic lesions, echo over surrounding organs, possibility of malignant transformation. The prevalence of certain types of localizations and morphologies depending on the age and organ involved always helps to obtain a correct and rapid diagnosis.
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Mirali H, Kamaoui I, El Harroudi T, Skiker I, Serji B. Giant Gallbladder Revealed by Chronic Cholecystitis Gallstone: A Case Report and Review of the Literature. Cureus 2021; 13:e13906. [PMID: 33880262 PMCID: PMC8046698 DOI: 10.7759/cureus.13906] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
We report here an extremely rare case of giant gallbladder and discuss diagnostic circumstances and different ethiopathogenic theories. A 53-year-old woman presented acute right hypochondrium pain. Ultrasonography showed a huge cystic mass with gallstones and a CT scan confirmed the diagnosis of giant gallbladder. Cholecystectomy was performed. Outcomes were uneventful and histopathological examination of the specimen confirmed the presence of chronic cholecystitis. Enlargement of the gallbladder is related to biliary retention. This enlargement is favored by the slow evolution of malignant pathologies. However, some benign situations have been reported in the literature, and giant gallbladder can occur in a benign situation even if its ethiopathogeny is not so clear.
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Affiliation(s)
- Houda Mirali
- Department of Radiology, Mohammed VI University Hospital, Oujda, MAR
| | - Imane Kamaoui
- Department of Radiology, Mohammed VI University Hospital, Oujda, MAR
| | - Tijani El Harroudi
- Surgical Oncology, Mohammed VI University Hospital, Regional Oncology Center, Oujda, MAR
| | - Imane Skiker
- Department of Radiology, Mohammed VI University Hospital, Oujda, MAR
| | - Badr Serji
- Surgical Oncology, Mohammed VI University Hospital, Regional Oncology Center, Oujda, MAR
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7
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Congenital pancreatic pseudocyst. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2020. [DOI: 10.1016/j.epsc.2020.101422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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8
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Watanabe S, Nagashima S, Onagi C, Yamazaki N, Shimada S, Sakai M, Yanai S, Haga Y, Ohara A, Kuroiwa M. Treatment strategy for pediatric giant mucinous cystadenoma: A case report. Pediatr Rep 2019; 11:8190. [PMID: 31579185 PMCID: PMC6769354 DOI: 10.4081/pr.2019.8190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2019] [Accepted: 08/05/2019] [Indexed: 11/23/2022] Open
Abstract
Because of their rarity, the treatment strategy for pediatric ovarian epithelial tumors is controversial, especially for a giant cystadenoma. We report the largest mucinous cystadenoma (MCA) case in the pediatric literature thus far. A 12-year-old girl had abdominal distention and visited our hospital. She had a multilocular cyst with some protuberance on the inside and high values of CA 19-9 and CA-125. We diagnosed her with a left MCA and performed a left oophorectomy. The tumor was the stage IA borderline malignant MCA and weighed 11.8 kg. Five years have passed, the patient has not experienced recurrence or metastasis. The resection of giant tumors can affect respiration and circulation. However, pre- or intra-operative drainage may lead to dissemination and adhesion. When we treat pediatric giant ovarian epithelial tumors, we must understand the findings that suggest the possibility of malignancy to decide appropriately as to whether drainage should be performed.
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Affiliation(s)
- Shun Watanabe
- Department of Surgery, Toho University School of Medicine, Tokyo.,First Department of Surgery, Dokkyo Medical University, Tochigi
| | | | - Chihiro Onagi
- Department of Surgery, Toho University School of Medicine, Tokyo
| | - Nobuto Yamazaki
- Department of Surgery, Toho University School of Medicine, Tokyo
| | - Shuhei Shimada
- Department of Surgery, Toho University School of Medicine, Tokyo
| | - Masato Sakai
- Department of Surgery, Toho University School of Medicine, Tokyo
| | - Shun Yanai
- Department of Pediatrics, Toho University School of Medicine, Tokyo, Japan
| | - Yoichi Haga
- Department of Pediatrics, Toho University School of Medicine, Tokyo, Japan
| | - Akira Ohara
- Department of Pediatrics, Toho University School of Medicine, Tokyo, Japan
| | - Minoru Kuroiwa
- Department of Surgery, Toho University School of Medicine, Tokyo
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9
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Dayyani M, Zabihyan S. Giant Tarlov Cyst of Infancy. World Neurosurg 2018; 123:348-350. [PMID: 30576828 DOI: 10.1016/j.wneu.2018.12.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2018] [Revised: 11/30/2018] [Accepted: 12/03/2018] [Indexed: 10/27/2022]
Abstract
We report an 8-month-old female infant with complaints of irritability and recent inability to sit in a stable position. On physical examination, a palpable mass in the left upper quadrant of her abdomen was evident. Sonography and magnetic resonance imaging showed a giant cyst, consisting of 2 communicating compartments: dorsal and ventrolateral. The dorsal part compressed the conus medullaris, and the ventrolateral part compressed the left kidney. Partial cyst wall resection and imbrication for the dorsal pouch were done, and diagnosis of Tarlov cyst was confirmed via the visualization of the endocystic nerve root during surgery. Familiarizing physicians with this unusual presentation of Tarlov cyst may help them in early recognition of this lesion, and subsequent surgery might be considered to prevent clinical sequela. To our knowledge, a lumbar Tarlov cyst presenting as a giant abdominal cyst in an infant has not been reported in the English-language literature.
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Affiliation(s)
- Mojtaba Dayyani
- Department of Neurosurgery, Ghaem Teaching Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Samira Zabihyan
- Department of Neurosurgery, Ghaem Teaching Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
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10
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Baradwan S, Alalyani H, Baradwan A, Baradwan A, Al-Ghamdi M, Alnemari J, Al-Jaroudi D. Bilateral ovarian masses with different histopathology in each ovary. Clin Case Rep 2018; 6:784-787. [PMID: 29744056 PMCID: PMC5930217 DOI: 10.1002/ccr3.1466] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2017] [Revised: 01/25/2018] [Accepted: 02/09/2018] [Indexed: 11/11/2022] Open
Abstract
We document the rare occurrence of multiple primary benign lesions that can occur in bilateral ovarian masses with benign imaging appearances and tumor markers. In addition, this case report contributes important information that may aid physicians in guiding their patients to make optimal clinical decisions together.
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Affiliation(s)
- Saeed Baradwan
- Department of Obstetrics and Gynecology King Fahad Medical City Riyadh Saudi Arabia
| | - Haneen Alalyani
- Faculty of Medicine Princess Nourah Bint Abdulrahman University Riyadh Saudi Arabia
| | - Amira Baradwan
- Faculty of Medicine King Abdulaziz University Jeddah Saudi Arabia
| | - Afnan Baradwan
- Department of Obstetrics and Gynecology King Abdulaziz University Jeddah Saudi Arabia
| | - Maram Al-Ghamdi
- Department of Radiology King Fahad Medical City Riyadh Saudi Arabia
| | - Jameel Alnemari
- Department of Pathology Prince Mohammed bin Abdulaziz Hospital Riyadh Saudi Arabia
| | - Dania Al-Jaroudi
- Reproductive Endocrine and Infertility Medicine Department King Fahad Medical City Riyadh Saudi Arabia
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12
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Ferrero L, Guanà R, Carbonaro G, Cortese MG, Lonati L, Teruzzi E, Schleef J. Cystic intra-abdominal masses in children. Pediatr Rep 2017; 9:7284. [PMID: 29081933 PMCID: PMC5643949 DOI: 10.4081/pr.2017.7284] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2017] [Revised: 08/08/2017] [Accepted: 08/11/2017] [Indexed: 01/19/2023] Open
Abstract
Benign intra-abdominal cystic masses in infancy are fairly uncommon and their etiopathogenesis, histology and clinical presentation differ significantly. Our aim is to report our experience in their treatment in order to discuss the best diagnostic and treatment modality. The medical records of 5 children (2M, 3F) with cystic intraabdominal masses referred to our hospital between November 2012 and September 2016, were retrospectively reviewed. All patients underwent open surgery and subsequent histopathologic analysis. Different clinical presentations, localizations of the masses, diagnostic tools, surgical approaches, histological examinations and outcomes were reviewed. Patients mean age was 5.4 years (range: 8 months-9 years). Two patients presented recurrent abdominal pain and abdominal distension; 1 patient had a palpable mass discovered incidentally and 2 complained acute abdominal pain. Routine laboratory tests, tumor markers and abdominal ultrasound were immediately done in all patients. Three patients underwent MRI and 1 abdominal CT. At laparotomy 2 hepatic cysts, 2 mesenteric cyst and 1 retroperitoneal cyst were discovered. Histology reports described: 1 hepatobiliary cystadenoma, 1 benign hepatic hamartoma and 3 cystic lymphangiomas (1 retroperitoneal and 2 mesenteric). There were no major postoperative complications, deaths, or recurrences in our series (follow-up 3-24 months). Despite the rarity of these lesions, benign cystic abdominal masses in children are not so uncommon and should be considered as causes of acute abdominal pain. The differential diagnosis is not always possible preoperatively. In our series, radical excision of the lesions was possible in all cases, allowing reliable histological results and avoiding recurrences.
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Affiliation(s)
- Luisa Ferrero
- Division of Pediatric General, Thoracic and Minimally Invasive Surgery, AOU Città della Salute e della Scienza, Regina Margherita Children's Hospital, Torino, Italy
| | - Riccardo Guanà
- Division of Pediatric General, Thoracic and Minimally Invasive Surgery, AOU Città della Salute e della Scienza, Regina Margherita Children's Hospital, Torino, Italy
| | - Giulia Carbonaro
- Division of Pediatric General, Thoracic and Minimally Invasive Surgery, AOU Città della Salute e della Scienza, Regina Margherita Children's Hospital, Torino, Italy
| | - Maria Grazia Cortese
- Division of Pediatric General, Thoracic and Minimally Invasive Surgery, AOU Città della Salute e della Scienza, Regina Margherita Children's Hospital, Torino, Italy
| | - Luca Lonati
- Division of Pediatric General, Thoracic and Minimally Invasive Surgery, AOU Città della Salute e della Scienza, Regina Margherita Children's Hospital, Torino, Italy
| | - Elisabetta Teruzzi
- Division of Pediatric General, Thoracic and Minimally Invasive Surgery, AOU Città della Salute e della Scienza, Regina Margherita Children's Hospital, Torino, Italy
| | - Jurgen Schleef
- Division of Pediatric General, Thoracic and Minimally Invasive Surgery, AOU Città della Salute e della Scienza, Regina Margherita Children's Hospital, Torino, Italy
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13
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Intracholecystic papillary-tubular neoplasm of the gallbladder presenting. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2017. [DOI: 10.1016/j.epsc.2017.07.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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14
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Complete Laparoscopic Extirpation of a Giant Ovarian Cyst in an Adolescent. Case Rep Obstet Gynecol 2017; 2017:7632989. [PMID: 28840047 PMCID: PMC5559909 DOI: 10.1155/2017/7632989] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2017] [Accepted: 07/04/2017] [Indexed: 11/18/2022] Open
Abstract
The giant ovarian serous cystadenoma is a rare finding and often benign. The use of the laparoscopic approach versus open approach for the management of huge ovarian cysts is controversial. We report a case of a 27-year-old woman with a history of increasing abdominal girth over a period of two years along with radiological investigations revealed a large tumor arising from the right ovary treated by complete laparoscopic extirpation of a giant ovarian cyst. The complete laparoscopic approach for huge cyst is a feasible treatment when having a normal tumor marker profile and benign imaging appearance. In addition to the advantages of laparoscopic surgery, it is less invasive, with perfect cosmetic outcome and shorter hospital stay, which are particularly important for young women.
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Komura M, Kodaka T, Terawaki K, Yonekawa H, Ikebukuro K, Komuro H, Kin R, Yamada T. A case of cystic hemangioma in mesentery. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2017. [DOI: 10.1016/j.epsc.2017.05.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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16
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Stanescu AL, Liszewski MC, Lee EY, Phillips GS. Neonatal Gastrointestinal Emergencies. Radiol Clin North Am 2017; 55:717-739. [DOI: 10.1016/j.rcl.2017.02.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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17
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Abstract
The normal peritoneal structures, including the mesenteries and the omenta, are only a few cell layers thick and are visible on imaging based upon the tissues (e.g., fat) and structures (e.g., blood vessels and lymph nodes) contained within them. These structures become more visible and change in appearance when involved by pathological processes. In this pictorial essay, we discuss the normal anatomy of the various abdominopelvic peritoneal structures and illustrate numerous developmental and acquired diagnoses that involve these structures in the pediatric and young adult population.
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18
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Abstract
Esophageal duplication and congenital esophageal stenosis (CES) may represent diseases with common embryologic etiologies, namely, faulty tracheoesophageal separation and differentiation. Here, we will re-enforce definitions for these diseases as well as review their embryology, diagnosis, and treatment.
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Affiliation(s)
- A Francois Trappey
- David Grant Medical Center, Travis Air Force Base, California; Division of Trauma, Acute Care Surgery, and Surgical Critical Care, UC Davis Medical Center, Sacramento, California
| | - Shinjiro Hirose
- Department of Surgery, UC Davis Medical Center, Sacramento, California; Division of Pediatric General, Thoracic, and Fetal Surgery, UC Davis Medical Center, Sacramento, California; Shriners Hospitals for Children-Northern California, 2425 Stockton Blvd, Sacramento, California 95817.
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A Rare Adrenal Mass in a 3-Month-Old: A Case Report and Literature Review. Case Rep Pediatr 2017; 2017:4542321. [PMID: 28326217 PMCID: PMC5343236 DOI: 10.1155/2017/4542321] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2016] [Accepted: 02/09/2017] [Indexed: 11/17/2022] Open
Abstract
A three-month-old female infant presented with abdominal distention for 2 months. A large palpable mass in right upper quadrant was noted on physical exam. Abdominal ultrasound revealed a large heterogeneous mass with multiple cystic components. Mass was surgically excised and pathology was consistent with mature adrenal teratoma. Teratoma is a germ cell tumor mainly found in gonadal tissues. Occurrence of adrenal gland teratoma in children is very rare with less than 10 pediatric case reports in English literature. We present a rare case of primary adrenal tumor in an infant and a review of the literature.
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20
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A case report of a young girl with mucinous borderline tumor of the ovary. Obstet Gynecol Sci 2016; 59:333-6. [PMID: 27462604 PMCID: PMC4958683 DOI: 10.5468/ogs.2016.59.4.333] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2015] [Revised: 01/15/2016] [Accepted: 02/08/2016] [Indexed: 11/21/2022] Open
Abstract
Ovarian tumors are relatively rare in children and adolescent. The incidence of malignancies in these groups is 1% to 1.5%. The common histologic type is non-epithelial type such as germ cell tumors or sex cord-stromal tumors and only 10% to 17% of those are epithelial tumors. It is important to accurately diagnose in the early these rare tumors for proper staging and treatment to save the patient's life and fertility. We present a case of a 13-year-old girl with a giant ovarian mucinous borderline tumor.
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21
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Okafor CI, Onyegbule OA, Etigbue J, Uyoh IS, Ezenri U. Giant Mucinous Cystadenoma in Nnewi, Nigeria. Ann Med Health Sci Res 2015; 5:222-5. [PMID: 26097766 PMCID: PMC4455014 DOI: 10.4103/2141-9248.157518] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Mucinous ovarian tumors are the second commonest type of epithelial ovarian tumors. Most of these tumors are benign. Occasionally, these tumors may reach enormous dimensions without being symptomatic. We reported the occurrence of a huge benign ovarian tumor (mucinous cystadenoma) in Nnewi. The data were collected from history taking, clinical examination, laboratory investigation, ultrasonographic examination, operative findings and histopathological examination of the surgical specimen. The case was reported as a massive ovarian mucinous cystadenoma. This case report emphasizes the importance of a thorough evaluation of women who presented with vague abdominal pain. Although the condition is very rare, it is potentially hazardous if early diagnosis and timely intervention is not instituted.
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Affiliation(s)
- C I Okafor
- Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria
| | - O A Onyegbule
- Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria
| | - J Etigbue
- Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria
| | - I S Uyoh
- Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria
| | - U Ezenri
- Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria
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Chang MY, Kim MJ, Han SJ, Kim HM, Lee MJ. Choledochal cyst rupture with an intrahepatic pseudocyst mimicking hepatic mesenchymal hamartoma in an infant. Clin Imaging 2015; 39:914-6. [PMID: 25986162 DOI: 10.1016/j.clinimag.2015.04.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2014] [Revised: 04/17/2015] [Accepted: 04/28/2015] [Indexed: 12/28/2022]
Abstract
Spontaneous choledochal cyst rupture and consequent biliary peritonitis are rare in children. Here, we report a unique case of intrahepatic bile duct rupture of choledochal cyst type IV that resulted in loculated biliary peritonitis with an intrahepatic pseudocyst mimicking a hepatic mesenchymal hamartoma in a 3-month-old boy. Magnetic resonance cholangiopancreatography can help differentiate these conditions. Regardless of the location, pseudocysts resulting from biliary peritonitis should be considered in cases of choledochal cysts with adjacent fluid collection or cystic lesions.
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Affiliation(s)
- Min-Yung Chang
- Department of Radiology and Research Institute of Radiological Science, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea 120-752
| | - Myung-Joon Kim
- Department of Radiology and Research Institute of Radiological Science, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea 120-752
| | - Seok Joo Han
- Department of Pediatric Surgery, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea 120-752
| | - Hye Min Kim
- Department of Pathology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea 120-752
| | - Mi-Jung Lee
- Department of Radiology and Research Institute of Radiological Science, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea 120-752.
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23
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Affiliation(s)
- Joy C Edlin
- Department of UGI Surgery, Kingston Hospital, Kingston Upon Thames, UK
| | - Maryam Alfa-Wali
- Department of UGI Surgery, Kingston Hospital, Kingston Upon Thames, UK
| | - Amanda Bond
- Department of UGI Surgery, Kingston Hospital, Kingston Upon Thames, UK
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24
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Álvarez Serra J, Sala Castellví P, Vila Cerén C, Raspall Torrent F, Llorens Jové M. Hidrops vesicular agudo asociado a infección por rotavirus. An Pediatr (Barc) 2015; 82:e242-4. [DOI: 10.1016/j.anpedi.2014.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2014] [Accepted: 05/13/2014] [Indexed: 10/25/2022] Open
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25
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Esen K, Özgür A, Karaman Y, Taşkınlar H, Duce MN, Demir Apaydın F, Kara T. Abdominal nonparenchymatous cystic lesions and their mimics in children. Jpn J Radiol 2014; 32:623-9. [PMID: 25199817 DOI: 10.1007/s11604-014-0355-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2014] [Accepted: 08/15/2014] [Indexed: 11/29/2022]
Abstract
Abdominal cystic lesions in children may originate from parenchymatous organs or from nonparencyhmatous structures. Although these lesions have well-described imaging features, proper diagnosis usually depends on the accurate determination of the origin of the lesion. Because large lesions may resemble each other it is difficult to identify the site of origin, which results in a diagnostic dilemma. In this pictorial essay we describe abdominal nonparenchymatous cystic lesions and their mimics arising from parenchymatous organs in children.
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Affiliation(s)
- Kaan Esen
- Department of Radiology, Mersin University Faculty of Medicine, 34. Cadde, Mersin, Turkey,
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26
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Biçer S, Erkul Z, Demiryilmaz I, Peker N. A 9-kg ovarian mucinous cystadenoma in a 14-year-old premenarchal girl. AMERICAN JOURNAL OF CASE REPORTS 2014; 15:326-9. [PMID: 25082433 PMCID: PMC4122110 DOI: 10.12659/ajcr.890862] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
PATIENT Female, 14. FINAL DIAGNOSIS Ovarian mucinous cystadenoma. SYMPTOMS Abdominal enlargement • abdominal pain • constipation. MEDICATION -. CLINICAL PROCEDURE -. SPECIALTY Obstetrics and Gynecology. OBJECTIVE Rare disease. BACKGROUND Although ovarian tumors are most commonly observed in adults, they relatively rarely occur in children. The majority of ovarian masses encountered in the premenarchal or childhood stages are non-neoplastic lesions such as benign functional cysts. Epithelial tumors account for 8-10% of all ovarian tumors and are histologically classified as mucinous or serous. The most common benign epithelial ovarian tumor is cystadenoma. CASE REPORT We report the case of a 14-year-old premenarchal girl with chronic abdominal pain, constipation, and abdominal enlargement. A computed tomography detected a huge left ovarian cystic tumor. A 9-kg ovarian tumor was removed surgically. Pathology showed a benign mucinous cystadenoma (MCA). CONCLUSIONS Ovarian neoplasms in children present a diagnostic quandary, and very often the diagnoses are missed or delayed. When the diagnosis is made, a prompt and fertility-preserving surgical treatment must be performed and followed to prevent recurrence.
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Affiliation(s)
- Senol Biçer
- Department of Pediatric Surgery, Erzincan University, Medical School, Erzincan, Turkey
| | - Zehra Erkul
- Department of Pathology, Gümüshane State Hospital, Gümüshane, Turkey
| | - Ismail Demiryilmaz
- Department of General Surgery, Erzincan University, Medical School, Erzincan, Turkey
| | - Necla Peker
- Department of Pediatrics, Erzincan University Medical School, Erzincan, Turkey
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27
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Reis DGD, Rabelo NN, Aratake SJ. Mesenteric cyst: abdominal lymphangioma. ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA : ABCD = BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY 2014; 27:160-1. [PMID: 25004298 PMCID: PMC4678677 DOI: 10.1590/s0102-67202014000200016] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/14/2012] [Accepted: 11/23/2013] [Indexed: 11/22/2022]
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28
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Sanchez TR, Ducore J, Balagtas J, Molloy C, Wootton-Gorges SL. WARM N COLD: malignant and benign renal tumors in children. Emerg Radiol 2014; 21:261-9. [PMID: 24570120 DOI: 10.1007/s10140-014-1202-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2014] [Accepted: 02/04/2014] [Indexed: 12/22/2022]
Abstract
Although Wilms tumor is the most common renal malignancy in children, the differential diagnosis is extensive and includes both malignant and benign disorders. We present a simple mnemonic-WARM N COLD, to aid in remembering these diverse tumors. Imaging clues including age of the patient, associated disease or syndrome as well as salient imaging characteristics such as bilaterality, and type or presence of metastasis are also presented and can help differentiate between these renal tumors of childhood.
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Affiliation(s)
- Thomas Ray Sanchez
- Division of Pediatric Radiology, Davis Children's Hospital, University of California, Sacramento, CA, USA,
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29
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Ciftci I, Cihan T, Koksal Y, Ugras S, Erol C. Giant mature adrenal cystic teratoma in an infant. Acta Inform Med 2013; 21:140-1. [PMID: 24058257 PMCID: PMC3766531 DOI: 10.5455/aim.2013.21.140-141] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2013] [Accepted: 02/28/2013] [Indexed: 11/04/2022] Open
Abstract
CONFLICT OF INTEREST: NONE DECLARED
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Affiliation(s)
- Ilhan Ciftci
- Department of Pediatric Surgery, Selcuk University , Medical Faculty, Konya, Turkey
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30
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Abstract
Mesenchymal hamartoma of the liver is the second most common benign liver tumor in children. Typically, it presents as a large benign cystic, solid or mixed liver mass in a child younger than 3 years and amenable to complete resection. We report a neonate with Mesenchymal hamartoma of the liver presenting as giant intra abdominal cyst and its rare association with malrotation of bowel.
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Affiliation(s)
- Raghu Sampally Ramareddy
- Department of Pediatric Surgery, Vani Vilas Hospital, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India
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31
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Brodie KE, Soccorso G, Bekdash B, Wani S, Lindley RM. A 2-year-old with acute abdominal distension and pallor (discussion and diagnosis). Acta Paediatr 2013; 102:661-2. [PMID: 23647527 DOI: 10.1111/apa.12214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2013] [Revised: 02/04/2013] [Accepted: 02/18/2013] [Indexed: 12/01/2022]
Affiliation(s)
- Katie E Brodie
- Sheffield Children's Hospital NHS Foundation Trust, Sheffield, UK.
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32
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Pusl T, Golling C, Grieser T. Abdominal mass. Gastroenterology 2013; 144:e16-7. [PMID: 23639727 DOI: 10.1053/j.gastro.2013.03.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2012] [Revised: 01/25/2013] [Accepted: 03/11/2013] [Indexed: 12/02/2022]
Affiliation(s)
- Thomas Pusl
- Department of Internal Medicine I, Klinikum Augsburg, Academic Teaching Hospital of the Ludwig-Maximilians-University Munich, Augsburg, Germany
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Abstract
Congenital omental cysts are rare intra-abdominal pathology, which are difficult to diagnose preoperatively; as such a high index of suspicion is required for accurate preoperative diagnosis. We present a case of congenital omental cyst in a 3-year-old girl who presented with huge abdominal distension. We performed diagnostic examinations including ultrasonography and CT of the abdomen. An omental cyst was diagnosed because of its position and connection to the surrounding tissues. She was operated and cyst was excised completely. Histological examination revealed an omental cyst with endothelial lining and haemorrhagic fluid inside. She had an uneventful recovery and doing well, without recurrence at follow-up of 24 months. Clinicians must rigorously pursue a preoperative diagnosis, as it may prevent a surprise upon laparotomy and result in proper management.
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Affiliation(s)
- Rakesh Kumar Gupta
- Department of Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
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34
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Onur MR, Bakal U, Kocakoc E, Tartar T, Kazez A. Cystic abdominal masses in children: a pictorial essay. Clin Imaging 2012. [PMID: 23206604 DOI: 10.1016/j.clinimag.2012.03.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Cystic abdominal masses in children are not an infrequently encountered condition of childhood. These lesions usually present with large size and mimick each other with similar presenting symptoms. Imaging examinations have an important role to determine the type of the cystic abdominal masses, which is crucial for management of patients and presurgical planning. In this pictorial essay, we summarized the imaging features of common cystic abdominal masses of children, including cystic lesions arising from liver, biliary ducts, kidney, pancreas, bowel, ovary, mesentery, and miscellaneous tissues.
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Affiliation(s)
- Mehmet Ruhi Onur
- Department of Radiology, Firat University Faculty of Medicine, Elazig, Turkey.
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35
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Long CY, Wang CL, Tsai EM. Incidental diagnosis of a mesenteric cyst mimicking an ovarian cyst during laparoscopy. Taiwan J Obstet Gynecol 2011; 50:388-9. [DOI: 10.1016/j.tjog.2011.01.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/28/2010] [Indexed: 11/30/2022] Open
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36
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Leland HA, Lee JT, Tan JH, Romine LE, Bansal V. Cystic lymphangioma of the lesser curvature of the stomach--case report. J Radiol Case Rep 2011; 5:31-7. [PMID: 22470794 PMCID: PMC3303445 DOI: 10.3941/jrcr.v5i5.716] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
We report a case of a cystic lymphangioma arising from the lesser curvature of the stomach in a 16-year-old female who initially presented with abdominal pain, nausea, and emesis. Contrast enhanced computed tomography and magnetic resonance imaging revealed a large, thin-walled multicystic mass located anteromedial to the stomach, which was predominately supplied by the left gastric artery. Given the imaging appearance and location, a mesenteric cyst, specifically a cystic lymphangioma, was considered. Lymphangioma was the final pathological diagnosis after laparotomy with complete resection of the cystic abdominal mass.
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Affiliation(s)
- Hyuma A. Leland
- Department of Surgery, UCSD Medical Center, San Diego, CA, USA
| | - James T. Lee
- Department of Radiology, UCSD Medical Center, San Diego, CA, USA
| | - Justin H. Tan
- Department of Radiology, UCSD Medical Center, San Diego, CA, USA
| | - Lorene E. Romine
- Department of Radiology, UCSD Medical Center, San Diego, CA, USA
| | - Vishal Bansal
- Department of Surgery, UCSD Medical Center, San Diego, CA, USA
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37
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Santana WBD, Poderoso WLS, Alves JAB, Melo VAD, Barros CD, Fakhouri R. [Mesenteric cyst--clinical and pathological aspects]. Rev Col Bras Cir 2011; 37:260-4. [PMID: 21085841 DOI: 10.1590/s0100-69912010000400004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2009] [Accepted: 07/08/2009] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To evaluate epidemiologic, clinical, pathologic and therapeutic characteristics of the mesenteric cysts in hospitals of Sergipe, Brazil. METHODS Mesenteric cysts were assessed by a non-interventional cross-sectional study from the archives of the Pathology Laboratory of Federal University of Sergipe between 1995 and 2007. The charts of the patients were reviewed in order to find out: gender, age, clinical findings, complementary exams and therapeutic approach. RESULTS Eighteen cases of mesenteric cysts were found. Females were more affected (72.2%). Mean of age of the patients was 30.46. More frequent symptoms were pain and abdominal mass. Ultrasonography of abdomen, performed in all patients, was not conclusive in half of the cases. CTscan of abdomen with contrast was performed in six cases, being cystic tumor well identified in all of them. Regarding histopathology, 6 lymphangiomas, 8 mesotheliomas, 1 hemorrhagic cyst in organization and 1 mucinous cyst were found. Surgical treatment was performed in all cases. Intracystic bleeding was the main complication in 3 cases. CONCLUSION The mesenteric cysts presented clinically with unspecific symptoms. CTscan was more effective than ultrasonography for the diagnosis. Lymphangiomas and mesothelioma had been found in equal ratios. The complete resection of the cyst was the treatment of election. There were no deaths in postoperative period.
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38
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39
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Abstract
A 38-year-old Iranian woman was found to have a huge ovarian cystic mass. Her presenting symptom was vague abdominal pain and severe abdominal distention. She underwent laparotomy and after surgical removal, the mass was found to be mucinous cystadenoma on histology.
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Affiliation(s)
- Mohammad Kazem Moslemi
- Department of Urology, Kamkar Hospital, School of Medicine, Qom Medical Sciences University, Qom, Iran
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40
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Chen SH, Hung IJ, Chiu CH, Lin JL, Wang CJ, Hsueh C. Intra-abdominal pseudocyst and abscess formation caused by non-typhoid salmonella. Pediatr Int 2010; 52:310-2. [PMID: 20500481 DOI: 10.1111/j.1442-200x.2010.03031.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Shih-Hsiang Chen
- Divisions of Hematology/Oncology, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan
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41
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Tumours of the fetal body: a review. Pediatr Radiol 2009; 39:1147-57. [PMID: 19238373 DOI: 10.1007/s00247-009-1160-6] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2008] [Revised: 11/28/2008] [Accepted: 01/07/2009] [Indexed: 10/21/2022]
Abstract
Tumours of the fetal body are rare, but lesions have been reported in all spaces, especially in the mediastinum, the pericardial space, the adrenals, the kidney, and the liver. Lymphangioma and teratoma are the commonest histological types encountered, followed by cardiac rhabdomyoma. Adrenal neuroblastoma is the commonest malignant tumour. Imaging plays an essential role in the detection and work-up of these tumours. In addition to assisting clinicians it also helps in counselling parents. Most tumours are detected by antenatal US, but fetal MRI is increasingly used as it brings significant additional information in terms of tumour extent, composition and complications.
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42
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Jahrelange Bauchschmerzen. Monatsschr Kinderheilkd 2009. [DOI: 10.1007/s00112-008-1806-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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43
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Isolated omental hydatid cyst: clinical, radiologic, and pathologic findings. J Pediatr Surg 2009; 44:1041-3. [PMID: 19433195 DOI: 10.1016/j.jpedsurg.2009.01.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2008] [Revised: 01/05/2009] [Accepted: 01/07/2009] [Indexed: 11/20/2022]
Abstract
Hydatid disease (HD) is a parasitic disease that is most commonly caused by the larval stage of Echinococcus granulosus. It is still a severe public health problem in the world and most commonly involves the liver and the lungs. However, HD can occur in almost any part of the body. Isolated omental hydatid cyst is one of the least common sites. Information about the appearance of cysts within the omentum is limited because of their extremely rare occurrence. In the evaluation of HD, clinical findings, serologic tests, and imaging methods such as plain radiography and ultrasonography are useful. This report describes the clinical, radiologic, and pathologic findings of omental hydatid cyst in addition to a literature review.
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44
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Ovarian Teratoma Masquerading as a CSF Pseudocyst in a Female with a Ventriculoperitoneal Shunt. Case Rep Med 2009; 2009:240705. [PMID: 19718253 PMCID: PMC2729319 DOI: 10.1155/2009/240705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2009] [Accepted: 04/04/2009] [Indexed: 11/18/2022] Open
Abstract
Background. In today's fast-paced and high-acuity emergency departments, clinicians are often compelled to triage cases so rapidly that a differential diagnosis consistent with the history and physical examination is not comprehensive.Case Report. This case report describes the unexpected finding of a cystic ovarian neoplasm in a young female with an abdominal mass and a ventriculoperitoneal shunt, initially diagnosed as a cerebrospinal fluid pseudocyst. We use this case to illustrate that the astute clinician must always synthesize a diagnosis from all data sources and not to rely on initial radiographic evaluations.Conclusions. This remarkable case demonstrates that all differential diagnoses must be entertained in order to rapidly and accurately diagnose a patient with a cystic abdominal mass.
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45
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Rassouli-Kirchmeier R, Hulscher JBF, de Langen ZJ. Obstructive mesenteric cyst is not always the cause of obstruction. Eur Surg 2008. [DOI: 10.1007/s10353-008-0425-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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46
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Lee EY. CT imaging of mass-like renal lesions in children. Pediatr Radiol 2007; 37:896-907. [PMID: 17639370 DOI: 10.1007/s00247-007-0548-4] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2007] [Revised: 04/20/2007] [Accepted: 05/30/2007] [Indexed: 10/23/2022]
Abstract
Mass-like renal lesions in children occur in a diverse spectrum of conditions including benign and malignant neoplasm, infection, infarction, lymphatic malformation, and traumatic injury. Although mass-like renal lesions can sometimes be suspected on plain radiographs and evaluated with US in children, subsequent CT is usually performed for the confirmation of diagnosis and further characterization. The purpose of this pictorial essay was to review the CT imaging findings of both common and uncommon mass-like renal lesions in pediatric patients. Understanding the characteristic CT appearance of mass-like renal lesions in children enables an accurate diagnosis and optimizes patient management.
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Affiliation(s)
- Edward Y Lee
- Department of Radiology, Children's Hospital Boston, Harvard Medical School, 300 Longwood Ave., Boston, MA 02115, USA.
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47
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Fitoz S, Atasoy C, Ekim M, Yildiz S, Erden A, Aktug T. Torsion of a giant omental cyst mimicking ascites. JOURNAL OF CLINICAL ULTRASOUND : JCU 2007; 35:85-7. [PMID: 16960884 DOI: 10.1002/jcu.20248] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
We report a case of omental cyst in an 11-month-old infant. The cyst occupied nearly the whole abdomen and mimicked massive ascites on sonography. The correct preoperative diagnosis was achieved through the use of CT, and partial torsion of a huge omental cyst was found at surgery. The diagnostic role of sonography and CT in ascites of unknown etiology is emphasized.
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Affiliation(s)
- Suat Fitoz
- Department of Radiology, Ankara University School of Medicine, Dikimevi, Ankara 06100, Turkey
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