Obstructive ileus due to a mesenteric chylous cyst in a pediatric patient - Report of a case-

Koutarou Maeda, Taijirou Mori, Mitsumasa Hashimoto, Gengo Taijma, Hideki Ishikawa, Tenzo Shiraishi, Kenichirou Nakajima, Junichi Koh, Osami Yamamoto, Youichrou Hosoda, Yoshimune Horibe

Research output: Contribution to journalArticlepeer-review

Abstract

A 9-year-old boy was admitted to our hospital due to vomiting for 4 days. He had no history of operation. A plain X-ray film demonstrated dilated intestinal gas. Ultrasonography showed a cystic mass 10 cm in diameter cranial to the cystic bladder. Drainage of the cystic mass using ultrasonography was performed because the cystic mass was considered to be the origin of obstructive ileus. Chylous fluid (200 ml) was drainaged, and ileus disappeared the following day. Mesenteric chylous cyst was suspected by CT scanning as well. Elective surgery for mesenteric chylous cyst was performed due to persistent drainage of fluid, although ielus did not occur again after the drainage procedure. Laparotomy showed a dark red mesenteric cyst of the jejunum 8 cm in diameter. Partial resection of the jejunum was performed. The size of the cyst was 7.5 × 6 cm in diameter, and histological study showed lymphangioma of the mesentery. This case is considered to show the usefulness of ultrasonography and ultrasonographic drainage for primary ileus in childhood.

Original languageEnglish
Pages (from-to)104-108
Number of pages5
JournalJapanese Journal of Gastroenterological Surgery
Volume29
Issue number1
DOIs
Publication statusPublished - 1996

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

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