Pediatric Radiology

, Volume 46, Issue 11, pp 1546–1551 | Cite as

Imaging findings and management of diaphragmatic mesothelial cysts in children

  • Guven Kahriman
  • Nevzat Ozcan
  • Serap Dogan
  • Adnan Bayram
Original Article

Abstract

Background

Diaphragmatic mesothelial cysts are rare benign congenital lesions with typical imaging findings.

Objective

To present imaging and treatment outcomes in 30 children with diaphragmatic mesothelial cyst.

Materials and methods

We conducted a retrospective chart review and recorded demographic data, imaging findings, treatment and US follow-up results, initial and final volume of the cysts and length of follow-up period for each case of diaphragmatic mesothelial cyst in a specialist hospital.

Results

The study included 30 children (16 girls, age range 1–17 years, mean age 7.9 years) diagnosed with diaphragmatic mesothelial cyst between January 2010 and December 2015. Imaging findings included thin-walled bilobulated or oval-shape cysts located between the diaphragm and right lobe of the liver. Treatment consisted of percutaneous drainage in 17 children and was successful in all. Cysts disappeared completely in 12 of these 17 children (70.5%, 95% confidence interval [CI] 44–90%). Mean volume reduction was 98%. No complication or mortality was seen. The other 13 children were followed with US without treatment. In 4 of these 13 children (30.8%, 95% CI 9–61%), cysts spontaneously decreased in size. No cyst increased in size.

Conclusion

In children with typical imaging findings, percutaneous drainage appears safe and effective when treatment is deemed necessary.

Keywords

Children Diaphragmatic mesothelial cyst Percutaneous treatment Sclerotherapy Ultrasound 

Notes

Compliance with ethical standards

Conflicts of interest

None

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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Guven Kahriman
    • 1
  • Nevzat Ozcan
    • 1
  • Serap Dogan
    • 1
  • Adnan Bayram
    • 2
  1. 1.Department of Radiology, Medical Faculty, Gevher Nesibe HospitalErciyes UniversityKayseriTurkey
  2. 2.Department of Anesthesiology, Gevher Nesibe HospitalErciyes UniversityKayseriTurkey

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