Abdominal Cystic Disease of The Neonate - A Systematic Review
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7
Abstract
Intestinal obstruction in the newborn might be due to atresia, stenosis, annular pancreas, malrotations, duplication cysts, meconium ileus, meconium plug syndromes, neonatal small left colon syndrome, Hirschsprung’s disease, neoplasias, trauma, and some other rare causes. Mesenteric cysts are rare intraabdominal benign tumors without any characteristic clinical findings with an incidence of 1 per 100,000 up to 1 per 250,000 hospital admission. They have an identical pathogenesis, but may have different histopathological derivation and structures.Treatment of mesenteric cyst is indicated if it becomes symptomatic as a result of the enlargement of the cyst or complications.We outline the presentation, management and histological findings of 10 neonates who presented to this hospital from 2016–2017.Out of the 10, 3 were diagnosed antenatally and 7 postnatally. Abdominal distension and intestinal obstruction were the presenting features. All underwent surgical resection and the post operative period was uneventful. Out of these 4 were duplication cysts, 3 were mesenteric cysts, 2 ovarian cysts and one chylolymphatic cyst.A successful management of a newborn suffering from bowel obstruction depends largely on making a prompt diagnosis and treatment. The diagnosis usually could be based on the history, physical examination and simple radiographic studies. Lack of specific symptoms makes mesenteric cysts a diagnostic and therapeutic challenge , undoubtedly awareness of the circumstance would direct to earlier diagnosis with proper treatment.
Authors and Affiliations
Dr. S. Vijayabaskaran, Dr. M. Raghul, Dr. G. Rajamani
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