Mesenteric and Omental Cysts in Infancy and Childhood

Mesenteric and omental cysts are rare lesions of childhood. These cysts are similar to cystic hygromas in other parts of the body morphologically and pathologically. From 1980 to 1997, 8 children were diagnosed and treated for mesenteric or omental cysts. Their ages ranged from 18 days to 6 years. There were 5 boys and 3 girls. The main presenting symptom was abdominal pain. Operative procedures were complete cysts excision, complete excision with intestinal resection, or complete excision with intestinal resection and colostomy. Accurate preoperative diagnosis was possible with the current ultrasonographic imaging techniques. Complete excision of the lesion was possible in all patients and resulted in an excellent outcome.

Congenital Diaphragmatic Eventration in infant

Although diaphragmatic eventration in newborn infants is generally regarded as a rare condition, the need for accurate diagnosis and appropriate intervention according to the etiological factors is well known. Recently authors experienced five consecutive cases of diaphragmatic eventration. All requiring surgery. All were seen within the second month of life ranging one to 55 days after birth. And all were male infants. All eventration were left sided. Respiratory symptoms were present in 4 cases, and the remainder had no symptoms other than inability to gain weight. The radiologic changes were pronounced in all cases, the dome of the diaphragm reaching from the third to fifth intercostal spaces. Regarding surgical technique, the authors favored Diaphragmatic plication through the abdomen, which gave excellent clinical and radiological results. No postoperative mortality was noted.

Appendiceal Perforation in the Neonate

Appendiceal perforation is uncommon in the neonate. The first reported case was by Diess in 1908, with approximately 111 additional cases reported since that time. However, if one excludes neonatal appendicitis associated with inguinal or umbilical hernias, necrotizing enterocolitis, meconium plug, and Hirschsprung's disease, the total would appear to be approximately 36 cases. We experienced a 12 days old boy with perforation of the appendix. A male newborn weighting 3000g was born by normal spontaneous vaginal delivary at 35 weeks gestation age to a 31-year-old mother who had premature rupture of membrane. He took feeding well for the first 5 days of life. After that, he began to have emesis of undigested milk, decreased activity and jaundice. He were admitted to the pediatrics and than phototheraphy was done. A 11-days after birth, he had progressive abdominal distension, fever, decreased activity, and vomitting. Erect abdominal radiography showed pneumoperitoneum. At exploratory laparotomy, a 0.8 X 0.6 cm sized perforation was noted at antimesenteric border of midportion of the appendix. Histologic section of the specimen showed ganglion cell and transmural inflammation.