I MADE YULLYANTARA SAPUTRA,I PUTU GDE KARYANA,I GUSTI NGURAH SANJAYA PUTRA,NI NYM METRIANI NESA,I MADE DHARMAJAYA,KADEK DEDDY ARIANTA
Residency Program Department of Child Health Sanglah General Hospital Udayana University Supervisor Department of Child Health Supervisor Department of Child Surgical
Background : Mesenteric cysts are documented as a rare entity in pediatric population. They are considered as benign intra- abdominal tumors with an unknown etiology. They may occur anywhere in the mesentery of the gastrointestinal tract from the duodenum to the rectum, but they are most commonly located in the mesentery of the ileum followed by localization in the sigmoid mesocolon. Approximately one-third of mesenteric cysts occur in children younger than 15 years of age and are slightly more common in males. The treatment is surgery for remove the cyst. The outcome is good, no malignancy occurrence was reported.
Case Presentation Summary : A 2-year-old boy was hospitalized with history of bloated abdomen and dull arch pain on left side of abdomen since I year before admitted. Physical examination revealed distended of abdomen and ascites. Laboratory investigation showed normal limit, ultrasonography investigation showed cystic lesion and fluid collection in the cavum abdomen. It was confirmed with CT scan. We diagnosed the patient with ascites permagna et causa suspected mesenteric cyst. After the diagnosis, a laparocopic exploration and drainage ascites and total resection of the cyst were performed. Seven days after surgery, patient was in good condition and discharge from hospital. No distention in abdomen.
Learning Points/Discussion : the mesenteric cyst can be the causa of ascites and can be well treated with laparoscopic modalities, the outcome is excellent with no malignancy founded
Keywords: ascites mesenteric cyst Laparoscopic surgery
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