A giant peritoneal simple mesothelial cyst: a case report
Tóm tắt
A peritoneal simple mesothelial cyst is a very rare mesenteric cyst of mesothelial origin. The size of this lesion usually ranges between a few centimeters and 10 cm. It is usually asymptomatic, but occasionally presents with various, non-specific symptoms, which makes correct pre-operative diagnosis difficult. We present a case of a giant peritoneal simple mesothelial cyst that was successfully managed by complete surgical excision which is the treatment of choice. A 21-year-old Caucasian Moroccan woman with vague abdominal discomfort and associated distention, during the previous 2 years, without other symptoms, presented to our hospital. Her past medical history was unremarkable. On physical examination, a mobile, painless and relatively hard abdominal mass was palpated. The laboratory examination and abdominal radiograph were unremarkable. Abdominal radiologic imaging showed a cystic mass of 35 × 20 × 10 cm that occupied the entire anterior and right abdominal cavity. Radical excision of the cyst was performed by midline laparotomy without any damage to the adjacent abdominal organs. The histopathological diagnosis was simple mesothelial cyst. The postoperative course was uneventful with no recurrence.
A peritoneal simple mesothelial cyst is a quite rare abdominal tumor, that must always be considered in differential diagnosis of pelvic cystic lesions and other mesenteric cysts. The treatment of choice is the complete surgical excision of the cyst.
Tài liệu tham khảo
De Perrot M, Brudler M, Totsch M, Mentha G, Morel P: Mesenteric cyst. Toward less confusion?. Dig Surg. 2000, 17: 323-328. 10.1159/000018872.
Miljković D, Gmijović D, Radojković M, Gligorijević J, Radovanović Z: Mesenteric cysts. Arch Oncol. 2007, 15: 91-93. 10.2298/AOO0704091M.
Sahin DA, Akbulut G, Saykol V, San O, Tokyol C, Dilek ON: Laparoscopic enucleation of mesenteric cyst: a case report. Mt Sinai J Med. 2006, 73: 1019-1020.
Huis M, Balija M, Lez C, Szerda F, Štulhofer M: Mesenteric cysts. Acta Med Croatica. 2002, 56: 119-124.
Tan JJ, Tan KK, Chew SP: Mesenteric cysts: an institution experience over 14 years and review of literature. World J Surg. 2009, 33: 1961-1965. 10.1007/s00268-009-0133-0.
Ros PR, Olmsted WW, Moser RP, Dachman AH, Hjermstad BH, Sohin SH: Mesenteric and omental cysts: histologic classification with imaging correlation. Radiology. 1987, 164: 327-332.
Stoupis C, Ros PR, Abbitt PL, Burton SS, Gauger J: Bubbles in the belly: imaging of cystic mesenteric or omental masses. Radiographics. 1994, 14: 729-737.
Patel A, Lefemine V, Ramanand BS: A rare case of a peritoneal cyst arising from the falciform ligament. Cases J. 2009, 2: 134-10.1186/1757-1626-2-134.
Fernandez Ramos J, Vazquez Rueda F, Azpilicueta Idarreta M, Diaz Aguilar C: Mesothelial giant cyst of great omentum. An Pediatr (Barc). 2009, 71: 180-181. 10.1016/j.anpedi.2009.05.003.
Theodoridis TD, Zepiridis L, Athanatos D, Tzevelekis F, Kellartzis D, Bontis JN: Laparoscopic management of mesenteric cyst: a case report. Cases J. 2009, 2: 132-10.1186/1757-1626-2-132.