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
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.
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
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.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Genel Pratisyenlik , Tek Sağlık |
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Eylül 2024 |
| Gönderilme Tarihi | 11 Mart 2024 |
| Kabul Tarihi | 27 Temmuz 2024 |
| Yayımlandığı Sayı | Yıl 2024 |