Think beyond ascites

Authors

  • Prarthana Kalgaonkar Department of Pediatrics, HBT Medical college and Dr R. N. Cooper Hospital, Mumbai, Maharashtra, India
  • Minal Wade Department of Pediatrics, HBT Medical college and Dr R. N. Cooper Hospital, Mumbai, Maharashtra, India
  • Anupama Mauskar Department of Pediatrics, HBT Medical college and Dr R. N. Cooper Hospital, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20194644

Keywords:

Abdominal distension, Child, Chylous ascites, Gross persistent ascites, Mesenteric cyst, Surgery

Abstract

In children with gross, persistent ascites wherein clinical scenario is not agreeable to common conditions, one needs to revise the diagnosis and rule out the surgical cause for abdominal distension mimicking ascites. We are reporting here, a case of two year old female child who presented with abdominal distension, clinically suggestive of ascites and subsequently diagnosed to have a large chylous mesenteric cyst which was determined on biochemical investigations, imaging and confirmed on surgical intervention. She was managed surgically with successful outcome.

Metrics

Metrics Loading ...

References

Pampal A, Yagmurlu A. Successful laparoscopic removal of mesenteric and omental cysts in toddlers: 3 cases with a literature review. J Pediatr Surg. 2012 Aug 1;47(8):e5-8.

Tillaux PJ. Cyste du mesentere un homme: ablation par la gastromie: quersion. Revue de Therapeutiques Medico-Chirurgicale Paris. 1880;47:479.

Gairdner WT. A remarkable cyst in the omentum. Trans Pathol Soc. 1852;3:374-5.

Adikibi BT, Wood R, Pillay K, Millar AJ. Omental cyst presenting with profound anaemia. African J Paediatr Surg. 2013 Apr 1;10(2):180-4.

Mohanty SK, Bal RK, Maudar KK. Mesenteric cyst-an unusual presentation. J Pediatr Surg. 1998 May 1;33(5):792-3.

Kumar S, Agrawal N, Khanna R, Khanna AK. Giant lymphatic cyst of omentum: a case report. Cases J.2009;2:23.

Motie MR, Asadi M. Large omental cyst: a case report and review of the literature. Acta Medica Iranica. 2011:690-3.

Walker AR, Putnam TC. Omental, mesenteric, and retroperitoneal cysts: a clinical study of 33 new cases. Annals Surg. 1973 Jul;178(1):13-9.

Kurtz RJ, Heimann TM, Holt JA, Beck AR. Mesenteric and retroperitoneal cysts. Annals Surg. 1986 Jan;203(1):109-12.

Kokhanovsky N, Nachtigal A, Reindorp N, Shinhar D, Zeina AR. Giant omental hemorrhagic cyst presenting as acute hemorrhagic anemia in a 21-month-old infant. Pediatr emergency care. 2014 Mar 1;30(3):188-90.

Cárdenas A, Chopra S. Chylous ascites. Am J Gastroenterol. 2002;97:1896-900.

Egozi EI, Ricketts RR. Mesenteric and omental cysts in children. Am Surg. 1997 Mar;63(3):287-90.

Hebra AN, Brown MF, McGeehin KM. Mesenteric, omental, and retroperitoneal cysts in children: a clinical study of 22 cases. South Med J 1993 Feb;86(2):173-6.

Deshpande AA, Dalvi AN. Laparoscopic excision of a giant mesothelial omental cyst. J Minimal Access Surg. 2012 Apr;8(2):57-8-17.

Horiuchi T, Shimomatsuya T. Laparoscopic excision of an omental cyst. J Laparoendoscopic Advanced Surg Techniques. 1999 Oct;9(5):411-3.

Sakurai Y, Taniguchi K, Uyama I, Inaba K, Furuta S, Sunagawa R, et al. Laparoscopic excision of the cystic lymphangioma occurred in the lesser omentum: report of a case and review of literature. Surg Laparoscopy Endoscopy Percutaneous Techniques. 2009 Feb 1;19(1):e11-4.

Downloads

Published

2019-10-24

How to Cite

Kalgaonkar, P., Wade, M., & Mauskar, A. (2019). Think beyond ascites. International Journal of Research in Medical Sciences, 7(11), 4361–4363. https://doi.org/10.18203/2320-6012.ijrms20194644

Issue

Section

Case Reports