Giant Chylolymphatic Mesenteric Cysts in Children: A Preoperative Enigma

Lone AY, Randhawa JS, Samujh R, Dash V and Rao SG

Department of Pediatric Surgery, Postgraduate Institute of Medical Education and Research (Pgimer), India

^*Correspondance to: Samujh R 

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Abstract:

Although mesenteric cysts in general have been reported in the literature fairly frequently, chylolymphatic cysts in the pediatric age group are extremely rare in the modern medical literature. Ultrasonography and computed tomography suggest the diagnosis but the picture is not clear until demonstrated intraoperatively. Intra-operatively, similar findings can be seen in cystic lymphangioma, retroperitoneal cystic teratoma, caseating tubercular lymph nodes, and hydatid cysts. Even lymphoma and duplication cysts may also give similar appearances. Excision biopsy is then recommended to differentiate these cases. Histopathology is confirmatory and differentiates chylolymphatic cysts from all these lesions. We present our experience with two such cases that presented to our center.

Keywords:

Chylolymphatic; Mesenteric cyst; Ileum; Abdominal pain

Cite the Article:

Lone AY, Randhawa JS, Samujh R, Dash V, Rao SG. Giant Chylolymphatic Mesenteric Cysts in Children: A Preoperative Enigma. Ann Clin Case Rep. 2017; 2: 1373.