Chylolymphatic mesenteric cysts in early infancy: case reports and literature review
DOI:
https://doi.org/10.18203/2349-3291.ijcp20260419Keywords:
Chylolymphatic cysts, Infancy, Mesenteric cystAbstract
Chylolymphatic mesenteric cysts are an uncommon entity in infancy and represent a rare but important cause of intestinal obstruction. We report two infant cases, one arising from the jejunal mesentery and the other from the ileal mesentery, both presenting with progressive abdominal distension and recurrent vomiting. Ultrasonography and intraoperative findings suggested mesenteric cystic lesions causing bowel obstruction. Complete surgical excision of the cysts with resection of the involved bowel segments and primary anastomosis was performed in both cases. The postoperative course was uneventful, and both infants recovered well without recurrence. Early recognition and complete excision are crucial to prevent complications and ensure excellent surgical outcomes.
Metrics
References
Engel S, Clagett OT, Harrison EG Jr. Chylous cysts of the abdomen. Surgery. 1961;50:593-9.
Gupta AR, Nanavati RN, Fernandez AR, Kalgutkar A, Nathani R, Deshmukh SS. Chylous mesenteric cyst: an unusual cause of neonatal intestinal obstruction. Indian Pediatr. 1992;29(4):511-3.
Takiff H, Calabria R, Yin L, Stabile BE. Mesenteric cysts and intra-abdominal cystic lymphangiomas. Arch Surg. 1985;120(11):1266-9. DOI: https://doi.org/10.1001/archsurg.1985.01390350048010
Singh S, Baboo ML, Pathak IC. Cystic lymphangioma in children: report of 32 cases including lesions at rare sites. Surgery. 1971;69(6):947-51. DOI: https://doi.org/10.1016/0022-3468(71)90867-0
Panjwani K, Gangopadhyay AN, Sharma SP, Gupta DK, Chooramani GS. Chylolymphatic mesenteric cyst: an unusual abdominal mass in a new born. Indian J Pediatr. 1993;60(5):712-4. DOI: https://doi.org/10.1007/BF02821744
Ratan SK, Ratan KN, Kapoor S, Sehgal T. Giant chylolymphatic cyst of the jejunal mesentery in a child: report of a case. Surg Today. 2003;33(2):120. DOI: https://doi.org/10.1007/s005950300026
Kriaa S, Hafsa C, Majdoub S, Jouini R, Golli M, Nouri A, et al. Caecal volvulus with calcified mesenteric cyst. Arch Pediatr. 2007;14(7):924-25. DOI: https://doi.org/10.1016/j.arcped.2007.03.036
Steyaert H, Guitard J, Moscovici J, Devlieger H, Lacombe F, Lenoir M. Abdominal cystic lymphangioma in children: benign lesions that can have a proliferative course. J Pediatr Surg. 1996;31(3):677-80. DOI: https://doi.org/10.1016/S0022-3468(96)90673-9
de Perrot M, Bründler MA, Tötsch M, Mentha G, Morel P. Mesenteric cysts: toward less confusion? Dig Surg. 2000;17(4):323-8. DOI: https://doi.org/10.1159/000018872
Kurtz RJ, Heimann TM, Holt J, Beck AR. Mesenteric and retroperitoneal cysts. Ann Surg. 1986;203(1):109-12. DOI: https://doi.org/10.1097/00000658-198601000-00017