Abstract
IntroductionWe report the case of a patient with a benign multicystic peritoneal mesothelioma and describe its appearance on computed tomography scans and ultrasonography, in correlation with gross clinical and pathological findings.Case presentationA 72-year-old Caucasian woman presented to our emergency department with acute abdomen signs and symptoms. A clinical examination revealed a painful palpable mass in her left abdomen. Abdominal ultrasonography and computed tomography demonstrated the presence of a large cystic mass in her left upper abdomen, adjacent to her left hemidiaphragm. The lower border of the mass extended to the upper margin of her pelvis. A complete resection of the lesion was performed. Pathological analysis showed a benign multicystic peritoneal mesothelioma.ConclusionsBenign multicystic peritoneal mesothelioma is a rare lesion with a non-specific appearance on imaging. Its diagnosis always requires pathological analysis.
Highlights
We report the case of a patient with a benign multicystic peritoneal mesothelioma and describe its appearance on computed tomography scans and ultrasonography, in correlation with gross clinical and pathological findings.Case presentation: A 72-year-old Caucasian woman presented to our emergency department with acute abdomen signs and symptoms
Benign multicystic peritoneal mesothelioma is a rare lesion with a non-specific appearance on imaging
Benign multicystic peritoneal mesothelioma is an uncommon lesion arising from the peritoneal mesothelium
Summary
Benign multicystic peritoneal mesothelioma is an uncommon lesion arising from the peritoneal mesothelium. Case presentation A 72-year-old Caucasian woman was admitted to our surgical department having experienced diffuse abdominal pain and discomfort, nausea and vomiting for the previous two days. Her medical history included diabetes mellitus and arterial hypertension, for which she was on medication. She had no relevant family history and did not smoke or drink alcohol On physical examination, she showed signs of acute abdomen and a palpable painful mass in her left. No abnormal lymphadenopathy was present (Figure 2, Figure 3 and Figure 4) She underwent an urgent operation and the multicystic mass was found to occupy her entire left abdomen, adherent to the spleen. Six months post-operatively, she had experienced no recurrence and was free of symptoms
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