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Erschienen in: European Surgery 6/2015

01.12.2015 | Case Report

Laparoscopic management of diaphragmatic mesothelial cysts in children

verfasst von: Assoc. Prof. M. Kaya, MD, E. Ozcakir, MD, Asst. Prof. U. Yalcinkaya, MD

Erschienen in: European Surgery | Ausgabe 6/2015

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Abstract

Background

Diaphragmatic mesothelial cysts (DMC) are rare congenital lesions arising from coelomic remnants. The DMC may need surgical excision if they become symptomatic. The aim of this study was to present three pediatric DMC cases that successfully managed laparoscopically.

Case report

Three consecutive children (ages 6, 8 and 12 years), who presented with nonspecific abdominal complaints, referred to our department. Imaging studies demonstrated lobulated cysts in the region of the right posterior lobes of liver. The patients were approached by laparoscopy in a right lateral decubitus position because the preoperative diagnosis is uncertain. Cysts originating from diaphragm were seen, the clear yellowish fluid was aspirated, and unroofing was performed in all patients.

Results

After a well-tolerated operation, postoperative courses of the patients were uneventful, and they were discharged on the following day. Histopathological examinations of the wall of the lesions showed DMC with no evidence of malignancy. No recurrence or symptom was found during the follow-up period.

Conclusions

This is the first report of laparoscopic management of the DMC. Laparoscopic approach to symptomatic DMC patients is safe and effective method for diagnosis and treatment, if it is not established a differential diagnosis by imaging studies.
Literatur
1.
Zurück zum Zitat de Perrot M, Bründler M, Tötsch M, Mentha G, Morel P. Mesenteric cysts. Toward less confusion? Dig Surg. 2000;17(4):323–8.CrossRefPubMed de Perrot M, Bründler M, Tötsch M, Mentha G, Morel P. Mesenteric cysts. Toward less confusion? Dig Surg. 2000;17(4):323–8.CrossRefPubMed
2.
Zurück zum Zitat Naik-Mathuria BJ, Cotton RT, Fitch ME, Popek EJ, Brandt ML. Thoracoscopic excision of an intrathoracic mesothelial cyst in a child. J Laparoendosc Adv Surg Tech A. 2008;18(2):317–20.CrossRefPubMed Naik-Mathuria BJ, Cotton RT, Fitch ME, Popek EJ, Brandt ML. Thoracoscopic excision of an intrathoracic mesothelial cyst in a child. J Laparoendosc Adv Surg Tech A. 2008;18(2):317–20.CrossRefPubMed
3.
Zurück zum Zitat Steven MJ, Howatson A, Hanretty K, Sabharwal A. A mesothelial-lined cyst: an unusual presentation. J Pediatr Surg. 2009;44(5):e25–7.CrossRefPubMed Steven MJ, Howatson A, Hanretty K, Sabharwal A. A mesothelial-lined cyst: an unusual presentation. J Pediatr Surg. 2009;44(5):e25–7.CrossRefPubMed
4.
Zurück zum Zitat Akinci D, Akhan O, Ozmen M, Ozkan OS, Karcaaltincaba M. Diaphragmatic mesothelial cysts in children: radiologic findings and percutaneous ethanol sclerotherapy. AJR Am J Roentgenol. 2005;185(4):873–7.CrossRefPubMed Akinci D, Akhan O, Ozmen M, Ozkan OS, Karcaaltincaba M. Diaphragmatic mesothelial cysts in children: radiologic findings and percutaneous ethanol sclerotherapy. AJR Am J Roentgenol. 2005;185(4):873–7.CrossRefPubMed
5.
Zurück zum Zitat Esparza Estaún J, González Alfageme A, Sáenz Bañuelos J. Radiological appearance of diaphragmatic mesothelial cysts. Pediatr Radiol. 2003;33(12):855–8.CrossRefPubMed Esparza Estaún J, González Alfageme A, Sáenz Bañuelos J. Radiological appearance of diaphragmatic mesothelial cysts. Pediatr Radiol. 2003;33(12):855–8.CrossRefPubMed
6.
8.
Zurück zum Zitat Mayer MP, Janzen J, Schweizer P. Intrathoracic and intraabdominal locations of a cystic benign tumor: congenital etiology due to embryological diaphragm development? Pediatr Surg Int. 2004;19(12):785–8.CrossRefPubMed Mayer MP, Janzen J, Schweizer P. Intrathoracic and intraabdominal locations of a cystic benign tumor: congenital etiology due to embryological diaphragm development? Pediatr Surg Int. 2004;19(12):785–8.CrossRefPubMed
9.
Zurück zum Zitat Ueda H, Andoh K, Kusano T, Iwasaki A, Inutsuka S. Diaphragmatic cyst with elevated level of serum tissue polypeptide antigen. Thorac Cardiovasc Surg. 1992;40(4):195–7.CrossRefPubMed Ueda H, Andoh K, Kusano T, Iwasaki A, Inutsuka S. Diaphragmatic cyst with elevated level of serum tissue polypeptide antigen. Thorac Cardiovasc Surg. 1992;40(4):195–7.CrossRefPubMed
Metadaten
Titel
Laparoscopic management of diaphragmatic mesothelial cysts in children
verfasst von
Assoc. Prof. M. Kaya, MD
E. Ozcakir, MD
Asst. Prof. U. Yalcinkaya, MD
Publikationsdatum
01.12.2015
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 6/2015
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-015-0338-4

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