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Mesothelial cyst in the liver round ligament: A case report and review of the literature

INTRODUCTION: Cysts of the liver round ligament are rare and they are benign in the majority of cases. Current literature has been reviewed on this subject. PRESENTATION OF CASE: A 22-year-old woman with a history of epigastric pain was admitted at our institution. Computed tomography (CT) of the ab...

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Autores principales: Feo, Claudio F., Ginesu, Giorgio C., Cherchi, Giuseppe, Fancellu, Alessandro, Cossu, M. Laura, Porcu, Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5479942/
https://www.ncbi.nlm.nih.gov/pubmed/28633124
http://dx.doi.org/10.1016/j.ijscr.2017.06.017
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author Feo, Claudio F.
Ginesu, Giorgio C.
Cherchi, Giuseppe
Fancellu, Alessandro
Cossu, M. Laura
Porcu, Alberto
author_facet Feo, Claudio F.
Ginesu, Giorgio C.
Cherchi, Giuseppe
Fancellu, Alessandro
Cossu, M. Laura
Porcu, Alberto
author_sort Feo, Claudio F.
collection PubMed
description INTRODUCTION: Cysts of the liver round ligament are rare and they are benign in the majority of cases. Current literature has been reviewed on this subject. PRESENTATION OF CASE: A 22-year-old woman with a history of epigastric pain was admitted at our institution. Computed tomography (CT) of the abdomen showed a 14-mm cystic lesion in the epigastrium. A large cyst of the liver round ligament was successfully removed during exploratory laparoscopy and histopathology revealed a benign mesothelial cyst. DISCUSSION: Mesothelial cysts of the liver round ligament are rare entities and we found a total of 5 cases from the literature. Diameter varies from 5 to 14 cm. Most patients were asymptomatic or may complain abdominal pain in the upper quadrants. Ultrasonography and CT scan are the most useful diagnostic tools, however differential diagnosis between various abdominal cystic lesions can be difficult. Treatment is usually surgical excision. CONCLUSION: Mesothelial cysts of the liver round ligament are extremely rare but should be taken in consideration in the differential diagnosis of intra-abdominal cystic lesions. We stress the importance of exploratory laparoscopy that can allow both diagnosis and radical surgical excision.
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spelling pubmed-54799422017-06-29 Mesothelial cyst in the liver round ligament: A case report and review of the literature Feo, Claudio F. Ginesu, Giorgio C. Cherchi, Giuseppe Fancellu, Alessandro Cossu, M. Laura Porcu, Alberto Int J Surg Case Rep Case Report INTRODUCTION: Cysts of the liver round ligament are rare and they are benign in the majority of cases. Current literature has been reviewed on this subject. PRESENTATION OF CASE: A 22-year-old woman with a history of epigastric pain was admitted at our institution. Computed tomography (CT) of the abdomen showed a 14-mm cystic lesion in the epigastrium. A large cyst of the liver round ligament was successfully removed during exploratory laparoscopy and histopathology revealed a benign mesothelial cyst. DISCUSSION: Mesothelial cysts of the liver round ligament are rare entities and we found a total of 5 cases from the literature. Diameter varies from 5 to 14 cm. Most patients were asymptomatic or may complain abdominal pain in the upper quadrants. Ultrasonography and CT scan are the most useful diagnostic tools, however differential diagnosis between various abdominal cystic lesions can be difficult. Treatment is usually surgical excision. CONCLUSION: Mesothelial cysts of the liver round ligament are extremely rare but should be taken in consideration in the differential diagnosis of intra-abdominal cystic lesions. We stress the importance of exploratory laparoscopy that can allow both diagnosis and radical surgical excision. Elsevier 2017-06-15 /pmc/articles/PMC5479942/ /pubmed/28633124 http://dx.doi.org/10.1016/j.ijscr.2017.06.017 Text en © 2017 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Feo, Claudio F.
Ginesu, Giorgio C.
Cherchi, Giuseppe
Fancellu, Alessandro
Cossu, M. Laura
Porcu, Alberto
Mesothelial cyst in the liver round ligament: A case report and review of the literature
title Mesothelial cyst in the liver round ligament: A case report and review of the literature
title_full Mesothelial cyst in the liver round ligament: A case report and review of the literature
title_fullStr Mesothelial cyst in the liver round ligament: A case report and review of the literature
title_full_unstemmed Mesothelial cyst in the liver round ligament: A case report and review of the literature
title_short Mesothelial cyst in the liver round ligament: A case report and review of the literature
title_sort mesothelial cyst in the liver round ligament: a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5479942/
https://www.ncbi.nlm.nih.gov/pubmed/28633124
http://dx.doi.org/10.1016/j.ijscr.2017.06.017
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