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:: Volume 14, Issue 3 (Summer 2023) ::
Caspian J Intern Med 2023, 14(3): 581-585 Back to browse issues page
Recurrence of abdominal distension due to fluid accumulation in a child: Ascites or a cyst?
Armineh Barzegar , Mohammadreza Esmaeili Dooki * , Abbas Hadipour , Mohammad Pournasrollah , Hajighorban Noreddini
Non-Communicable Pediatric Disease Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran , esmaeilidooki@yahoo.com
Abstract:   (441 Views)
Background: Abdominal distension in children can be caused by fluid accumulation due to ascites or large cysts.
Case Presentation: A 25-month-old girl was brought to the pediatric gastroenterology clinic with the chief complaint of nontraumatic acute abdominal pain. She had undergone paracentesis last year with a diagnosis of suspected ascites in another medical clinic. Moreover, a CT scan following paracentesis was reported to be normal. After a few months, she gradually developed abdominal distension again. Diagnostic evaluations along with biochemical parameters and imaging strongly suggested the presence of a cyst. The large mesenteric cyst was totally removed by surgery.
Conclusion: In conclusion, in the face of recurrence of abdominal fluid accumulation, mesenteric cysts should be considered despite the fact that abdominal CT scan is normal after paracentesis.

Keywords: Ascites, Paracentesis, CT scan, Cystic lymphangiomas
Full-Text [PDF 284 kb]   (336 Downloads)    
Type of Study: case report | Subject: Pediatrics
Received: 2022/04/25 | Accepted: 2022/06/6 | Published: 2023/05/29
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Barzegar A, Esmaeili Dooki M, Hadipour A, Pournasrollah M, Noreddini H. Recurrence of abdominal distension due to fluid accumulation in a child: Ascites or a cyst?. Caspian J Intern Med 2023; 14 (3) :581-585
URL: http://caspjim.com/article-1-3467-en.html

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Volume 14, Issue 3 (Summer 2023) Back to browse issues page
Caspian Journal of Internal Medicine
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