Research Article
Volume 7 Issue 9 - 2018
Clinical-Surgical and Pathological Evolution of Patients with Mass Side of the Mesentery and Omente in the Manuel De Jesus Rivera Children's Hospital “La Mascota”. January 2009 - December 2014
Luden Monge Vázquez*, Mariano Montealegre and Francisco Rodríguez Lara
Pediatric Surgeon, Universidad de Ciencias Médicas, Nicaragua
*Corresponding Author: Luden Monge Vázquez, Pediatric Surgeon, Universidad de Ciencias Médicas, Nicaragua.
Received: May 16, 2018; Published: August 08, 2018
Citation: Luden Monge Vázquez., et al. “Clinical-Surgical and Pathological Evolution of Patients with Mass Side of the Mesentery and Omente in the Manuel De Jesus Rivera Children's Hospital “La Mascota”. January 2009 - December 2014”. EC Paediatrics 7.9 (2018): 826-841.
Abstract
The present study was carried out in the Manuel de Jesús Rivera Hospital of Managua, with the objective of knowing the surgical and pathological clinical evolution of patients with cystic mass of mesentery and omentum, January 2009 - December 2014.
The study is a series of cases. The sample consisted of 13 patients who were diagnosed with cystic mass mesentery and omentum.
The average age of the patients was 4.4 years, the female was the predominant, the majority of the patients were from Managua and most of them had an adequate weight for age.
The site of the most frequent cyst was the mesentery, the predominant symptom was abdominal pain and the most frequent clinical sign was abdominal distention.
The diagnostic means that predominated was abdominal ultrasound. The type of surgical approach was mostly conventional and elective. The most frequently performed surgery was exeresis of the cyst. The content of mesenteric cysts was mostly hematic. The hospital stay averaged 12.6 days. The most common medical complication was anemia, in the majority of patients there were no postoperative complications. The condition of discharge in all patients was discharge.
The incidence rate was 1.57 cases per 10,000 admissions.
The histopathological diagnosis was lymphangioma and the most frequent presurgical diagnosis was appendicitis and mesentery cyst.
Tutor's Opinion: The cystic masses of the mesentery and omentum is a rare entity in pediatrics, there are few and brief reviews of the subject in the literature, however it is a challenge for pediatricians and pediatric surgeons to make an accurate diagnosis to perform a good management given the complications These patients can suffer and their early detection and adequate surgical behavior gives us very favorable results with low recurrence rate.
I believe that this study presented by Dr. Luden Monge gives us information about the behavior of this pathology in our hospital and at the national level given that no study of this pathology has been conducted at a national level like this.
Keywords: Cyst; Mesentery; Omentum
Copyright: © 2018 Luden Monge Vázquez., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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