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Epilogue
Answers to Epilogue questions: An unusual case of abdominal distension with constipation
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  1. Pooja Popat1,
  2. Helen Williams2,
  3. Ian Wacogne1,
  4. Ingo Jester3,
  5. Silvia Planas4,
  6. Mohamed A Elemraid1
  1. 1Department of General Paediatrics, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK
  2. 2Department of Radiology, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK
  3. 3Department of Paediatric Surgery, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK
  4. 4Department of Histopathology, Sheffield Children's NHS Foundation Trust, Sheffield, UK
  1. Correspondence to Dr Mohamed A Elemraid, Department of General Paediatrics, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK; elemraid{at}doctors.org.uk

https://doi.org/10.1136/archdischild-2014-306648a

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    Answers TO THE QUIZ ON PAGE 146

    1. Figure 1 shows an abnormal bowel gas distribution with central paucity, and the impression that bowel is displaced into the upper abdomen.

    2. Figure 2 shows a large fluid-filled mass occupying most of the central abdomen but not extending above the liver (arrowed) into the subphrenic space. This was initially erroneously reported as gross ascites.

    3. Figure 3 shows a large septated cystic abdominal mass, with no discernible cyst wall. Its maximum dimensions are 18.5×10.5×23.5 cm (transverse × antero-posterior × cranio-caudal diameters).

    4. The consensus in this case was that it was likely to be a congenital mesenteric cyst. He underwent a diagnostic laparoscopy, which confirmed the presence of a cyst arising from the sigmoid colon and its mesentery. An 800 mL of clear sterile fluid was drained and a dissection …

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