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Diaphragmatic Mesothelial Cyst And Percutaneous Ethanol Sclerotherapy: In A Young Girl

Yıl 2024, Cilt: 46 Sayı: 3, 211 - 213, 30.09.2024

Levent Cankorkmaz , İsmail Şalk , Mehmet Atalar

https://doi.org/10.7197/cmj.1448397

Öz

Diaphragmatic mesothelial cysts are rare congenital lesions that are lined with mesothelial cells. The diagnosis might be problematic because of their rarity and anatomic location. We report a case of with a diaphragmatic cyst in a 6–year–old girl. In this case, the cyst was found incidentally. We found a thin-wall, homogeneous cyst, which was between the lateral aspects of the liver and diaphragm with radiological imaging. The patient was planned for cyst aspiration and ethanol sclerotherapy was made based on the imaging findings. The cyst was aspirated and then performed ethanol sclerotherapy. The cytological findings of the cyst fluid were appeared to be degenerated histiocytes and mesothelial cells. If treatment is needed, percutaneous treatment is conceivable as the first choice of technique.

Anahtar Kelimeler

Mesothelial Cyst child Ethanol Sclerotherapy

Kaynakça

  • 1. 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.
  • 2. Yang M, Xiang B, Xie XL, Li KW, Li FY. Retroperitoneal mesothelial cyst misdiagnosed as a congenital choledochal cyst for an infant patient: A case report and literature review. Int J Surg Case Rep. 2020; 71:176-178. doi: 10.1016/j.ijscr.2020.04.075.
  • 3. Bean WJ, Rodan BA. Hepatic cysts: treatment with alcohol. AJR 1985; 144:237–241.
  • 4. Akinci D, Akhan O, Ozmen M, et al. Long-term results of single-session percutaneous drainage and ethanol sclerotherapy in simple renal cysts. Eur J Radiol 2005; 54: 298–302.
  • 5. Esparza Estaún J, González Alfageme A, Sáenz Bañuelos J. Radiological appearance of diaphragmatic mesothelial cysts. Pediatr Radiol 33, 855–858 (2003). Doi: 10.1007/s00247-003-1014-6.
  • 6. Estaun JE, Alfageme AG, Banuelos JS. Radiologic appearance of diaphragmatic mesothelial cysts. Pediatr Radiol. 2003; 33: 855–858.

Diyafragmatik Mezotelyal Kist ve Perkütan Etanol Skleroterapisi: Bir Kız Hasta

Yıl 2024, Cilt: 46 Sayı: 3, 211 - 213, 30.09.2024

Levent Cankorkmaz , İsmail Şalk , Mehmet Atalar

https://doi.org/10.7197/cmj.1448397

Öz

Diyafragmatik mezotelyal kistler, mezotelyal hücrelerle döşeli, nadir görülen konjenital lezyonlardır. Nadir görülmeleri ve anatomik yerleşimleri nedeniyle tanıları sorunlu olabilir. Biz 6 yaşında diyafragma kisti olan kız çocuğu olguyu sunuyoruz. Bu vakada kist tesadüfen tespit edilmişti. Radyolojik görüntülemede karaciğer laterali ile diyafram arasında ince duvarlı, homojen kist saptandı. Görüntüleme bulgularına göre hastaya kist aspirasyonu planlandı ve etanol skleroterapi uygulandı. Kist aspire edildi ve ardından etanol skleroterapi uygulandı. Kist sıvısının sitolojisinde dejenere histiositler ve mezotelyal hücreler saptandı. Lezyonlarda tedavi gerekiyorsa perkütan tedavi ilk seçenek olarak düşünülebilir.

Anahtar Kelimeler

Mezotelial kist çocuk etanol skleroterapi.

Kaynakça

  • 1. 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.
  • 2. Yang M, Xiang B, Xie XL, Li KW, Li FY. Retroperitoneal mesothelial cyst misdiagnosed as a congenital choledochal cyst for an infant patient: A case report and literature review. Int J Surg Case Rep. 2020; 71:176-178. doi: 10.1016/j.ijscr.2020.04.075.
  • 3. Bean WJ, Rodan BA. Hepatic cysts: treatment with alcohol. AJR 1985; 144:237–241.
  • 4. Akinci D, Akhan O, Ozmen M, et al. Long-term results of single-session percutaneous drainage and ethanol sclerotherapy in simple renal cysts. Eur J Radiol 2005; 54: 298–302.
  • 5. Esparza Estaún J, González Alfageme A, Sáenz Bañuelos J. Radiological appearance of diaphragmatic mesothelial cysts. Pediatr Radiol 33, 855–858 (2003). Doi: 10.1007/s00247-003-1014-6.
  • 6. Estaun JE, Alfageme AG, Banuelos JS. Radiologic appearance of diaphragmatic mesothelial cysts. Pediatr Radiol. 2003; 33: 855–858.
Toplam 6 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Tek Sağlık, Genel Pratisyenlik
Bölüm Olgu Sunumları
Yazarlar

Levent Cankorkmaz 0000-0003-1525-1470

İsmail Şalk 0000-0002-5156-6923

Mehmet Atalar 0000-0003-3076-8072

Yayımlanma Tarihi 30 Eylül 2024
Gönderilme Tarihi 11 Mart 2024
Kabul Tarihi 27 Temmuz 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 46 Sayı: 3

Kaynak Göster

AMA Cankorkmaz L, Şalk İ, Atalar M. Diaphragmatic Mesothelial Cyst And Percutaneous Ethanol Sclerotherapy: In A Young Girl. CMJ. Eylül 2024;46(3):211-213. doi:10.7197/cmj.1448397
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