Caspian Journal of Internal Medicine
Babol University of Medical Sciences
Sat, Oct 25, 2025
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Volume 14, Issue 3 (Summer 2023)
Caspian J Intern Med 2023, 14(3): 581-585 |
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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
URL: http://caspjim.com/article-1-3467-en.html
Armineh Barzegar 
, Mohammadreza Esmaeili Dooki * , Abbas Hadipour , Mohammad Pournasrollah , Hajighorban Noreddini
, 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: (2187 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.
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.
Policy Brief: case report |
Subject:
Pediatrics
Received: 2022/04/25 | Accepted: 2022/06/6 | Published: 2023/05/29
Received: 2022/04/25 | Accepted: 2022/06/6 | Published: 2023/05/29
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