A rare case of an asymptomatic mesenteric hemangioma: an incidental finding

Abstract

A 60-year-old female patient presented with incidental finding of duodenal mesenteric hemangioma during the work up for a ventral hernia. Our patient presented at the age of 60-years-old with complaints of a ventral hernia. After initial imaging on CT showed an incidental finding of a mesenteric mass, an MRI confirmed the diagnosis, in this otherwise asymptomatic female. The patient underwent an exploratory laparotomy with complete excision of the mesenteric mass. Final pathology shows findings of a mesenteric hemangioma. The finding of a mesenteric mass requires further investigation. While benign and rare, mesenteric hemangiomas should be considered as a possible differential diagnosis in patients with radiographic evidence of a mesenteric mass, especially if the patient has symptoms of gastrointestinal hemorrhage. The literature on mesenteric hemangiomas is reviewed. Hemangioma of the GI tract mesentery is a rare pathology but should be included in the differential diagnosis in patients presenting with an intraabdominal mass.