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

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.
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Metadaten
Titel
Laparoscopic management of diaphragmatic mesothelial cysts in children
verfasst von
MD Assoc. Prof. M. Kaya
MD E. Ozcakir
MD Asst. Prof. U. Yalcinkaya
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