Experience of management of abdominal cysts
DOI:
https://doi.org/10.18203/2349-2902.isj20204144Keywords:
Benign intra-abdominal cystic masses, Choledochal cyst, Omental cyst, Ovarian cyst, Pedunculated bile duct cyst, Urachal cystAbstract
Benign intra-abdominal cystic masses in children are rare and they have diverse etiopathogenesis, clinical presentation. The present study highlights the experience in the management of benign intra-abdominal cysts pertaining to the diverse etiologies associated with these lesions. The medical records of our hospital between November 2016 to November 2019 were retrospectively reviewed. Patients with cystic abdominal masses were studied with respect to less different clinical presentations, localization of masses, diagnostic tests, surgical aapproaches, histopathological examinations and outcome. Out of the 55 cases, most common lesion was a choledochal cyst. Miscellaneous diagnosis includes an omental cyst, urachal cyst and a pedunculated bile duct cyst. All the cystic lesions of the abdomen need to be considered as close differentials in clinical practice due to the common presentations and similar symptoms produced by these lesions. All the lesions were managed by exploratory laparotomy except two ovarian cysts which were managed with laparoscopic approach.
References
Ferrero L, Guanà R, Carbonaro G, Cortese MG, Lonati L, Teruzzi E et al. (2017). Cystic intra-abdominal masses in children. Pediatr Rep. 2017;9(3):7284.
Chang H, Li Y, Liu Y, Cao H, Zhang F, Pan Q. Ultrasound diagnosis of fetal ovarian cysts. Zhong Hua Chao Sheng Ying Xiang Xue Za Zhi. 2002;11:253-4.
Feng W, Cui G, Fu T. Advances in diagnosis and treatment of fetal ovarian cysts. Contemp Med. 2012;18:274-5.
Tu C. Obstetric ultrasound measurements and diagnostics. Shandong Science and Technology Press; Jinan: 2014;1:1.
Wang L, Ma X, Pan Y, Zhang H, Zhang J, An S. The antenatal sonographic diagnosis and differential diagnosis of fetal abdominal cysts. Chin J Clinicians. 2013;7:87-90.
Swartley WB. Mesenteric cysts. Ann Surg. 1927;85(6):886-96.
Lin JI, Fisher J, Caty MG. New born intraabdominal cystic lymphatic malformations. Semin Pediatr Surg. 2000;9(3):141-5.
Lee J, Park CM, Kim KA, Lee CH, Choi JW, Shin BK et al. Cystic lesions of the gastrointestinal tract: multimodality imaging with pathologic correlations. Korean J Radiol. 2010;11(4):457-68.
Morrison CP, Wemyss-Holden SA, Maddern GJ. A novel technique for the laparoscopic resection of mesenteric cysts. Surg Endos. 2002;16(1):219.
Schenkman L, Weiner TM, Phillips JD. Evolution of the surgical management of ovarian cysts: laparoscopic-assisted trans umbilical extracorporeal ovarian cystectomy. J Laparoendos Adv Surg Tech A. 2008;18(4):635-40.
Salem HAF. Laparoscopic excision of large ovarian cysts. J Obstet Gynaecol Res. 2002;28(6):290-4.
Dolan MS, Boulanger SC, Salameh JR. Laparoscopic management of giant ovarian cyst. J Society Laparoendos Surg. 2006;10(2):254-6.
Kuga T, Inoue T, Taniguchi S, Zempo N, Esato K. Laparoscopic surgery in infants with intra-abdominal cysts: two case reports. J Society Laparoendos Surg. 2000;4(3):243-6.
Stitely ML. Laparoscopic removal of a large ovarian mass utilizing planned trocar puncture. J Society Laparoendos Surg. 2012;16(1):148-50.
