Escisión laparoscópica de quiste mesotelial hepático / Laparoscopic excision of a hepatic mesothelial cyst
Cir. pediátr
; 22(4): 229-232, oct. 2009. ilus
Artigo
em Espanhol
| IBECS
| ID: ibc-107227
Biblioteca responsável:
ES1.1
Localização: BNCS
RESUMEN
Los quistes mesoteliales son lesiones congénitas extremadamente raras que tienen origen en restos celómicos. Los autores describen el caso de un niño de tres años de edad. Presenta como hallazgo casual imagen quística hepática en ecografía abdominal, en el contexto de estudio de dolor abdominal. El examen objetivo y el estudio analítico no demostraron ninguna alteración. La RMN confirmó la presencia de lesión quística, sugiriendo como hipótesis diagnóstica tratarse de un cistadenoma quístico. El enfermo fue sometido a quistectomía por laparoscopia, con alta al 2º día. El estudio de anatomía patológica concluye que se trata de un quiste mesotelial hepático. Los quistes mesoteliales hepáticos son lesiones muy raras, de difícil diagnóstico preoperatorio. Su escisión laparoscópica es un procedimiento exequible y seguro (AU)
ABSTRACT
Over the past few years there has been an increase in application of minimally invasive techniques in pediatric surgery, especially in the approach of liver lesions. The mesothelial cysts are extremely rare congenital lesions that arise from celomic remnants. The authors present the clinical case of a three year old child, referred to our institution after an incidental finding of a liver cystic lesion in abdominal ultrasound. The physical examination and blood study were irrelevant. The MRI confirmed the presence of the cystic lesion and pointed, as a possible etiology, a cystic cyst adenoma of the liver. The child was submitted to laparoscopic cyst resection. There peri and postoperative periods were uneventful. He was discharged 48h after surgery. The anatomo-pathological and immunohistochemical studies concluded it was a mesotelial cyst of the liver. The mesothelial cysts of the liver are very rare lesions, with difficult preoperative diagnosis. The laparoscopic excision is a feasible and safe (AU)
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Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Laparoscopia
/
Mesotelioma Cístico
/
Neoplasias Hepáticas
Limite:
Criança, pré-escolar
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Cir. pediátr
Ano de publicação:
2009
Tipo de documento:
Artigo
Instituição/País de afiliação:
Hospital São João EPE/Potugal