Abstract
We report here a rare case of mesenteric castelman's disease presenting as a lump in abdomen. A 11 year old female child was admitted in surgery ward presenting with intermittent right lower quadrant abdominal pain and lump in lower abdomen. CT scan revealed well defined iso- attenuating round solid lesion with smooth margins of approximate size 7.2x6.5cm showing moderate homogenous enhancement with few central nonenhancing necrotic areas in it. Exact origin of mass could not be ascertained. Findings might represent GIST, Solid ovarian tumour but definite preoperative diagnosis couldn't be confirmed. Patient underwent exploratory laparotomy and it was a solid mesenteric mass, on microscopic examination confirmed it to be hyaline vascular type of Castelman's disease.
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