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A Case of Mesenteric Pseudocyst Causing Massive Abdominal Swelling
We present the case of a 55-year-old man with a self-limiting febrile condition associated with polyserositis with an inconclusive investigation. Bilateral pleural and pericardial effusions resolved. The peritoneal fluid loculated and was compatible with an exudate. The patient remained clinically a...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SMC Media Srl
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346947/ https://www.ncbi.nlm.nih.gov/pubmed/30755860 http://dx.doi.org/10.12890/2016_000364 |
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author | Rosado, Cláudia Raquel Barbosa Machado, Daniela Santos de Magalhães Esteves, Joel Moreira, Rui Filipe dos Santos de Castro Neves, Clarinda Maria |
author_facet | Rosado, Cláudia Raquel Barbosa Machado, Daniela Santos de Magalhães Esteves, Joel Moreira, Rui Filipe dos Santos de Castro Neves, Clarinda Maria |
author_sort | Rosado, Cláudia Raquel Barbosa |
collection | PubMed |
description | We present the case of a 55-year-old man with a self-limiting febrile condition associated with polyserositis with an inconclusive investigation. Bilateral pleural and pericardial effusions resolved. The peritoneal fluid loculated and was compatible with an exudate. The patient remained clinically asymptomatic. However, 2 years later, examination revealed a palpable and painless abdominal mass, which imaging suggested a cystic lesion. Surgical resection was performed and histological examination identified a mesenteric pseudocyst. Mesenteric pseudocysts are rare intra-abdominal cystic masses which are mostly benign and do not cause specific symptoms. Although imaging tests are useful for their differential diagnosis, histology is mandatory. LEARNING POINTS: Mesenteric pseudocysts are rare intra-abdominal cystic masses with a clinical presentation that sometimes is a diagnostic challenge. Abdominal imaging used to investigate a concomitant systemic illness may reveal a fluid lesion which may delay the diagnosis. Ultrasound, computed tomography and magnetic resonance imaging can be used for pre-operative diagnosis, but exact differentiation is only achieved through histopathological examination. |
format | Online Article Text |
id | pubmed-6346947 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | SMC Media Srl |
record_format | MEDLINE/PubMed |
spelling | pubmed-63469472019-02-12 A Case of Mesenteric Pseudocyst Causing Massive Abdominal Swelling Rosado, Cláudia Raquel Barbosa Machado, Daniela Santos de Magalhães Esteves, Joel Moreira, Rui Filipe dos Santos de Castro Neves, Clarinda Maria Eur J Case Rep Intern Med Articles We present the case of a 55-year-old man with a self-limiting febrile condition associated with polyserositis with an inconclusive investigation. Bilateral pleural and pericardial effusions resolved. The peritoneal fluid loculated and was compatible with an exudate. The patient remained clinically asymptomatic. However, 2 years later, examination revealed a palpable and painless abdominal mass, which imaging suggested a cystic lesion. Surgical resection was performed and histological examination identified a mesenteric pseudocyst. Mesenteric pseudocysts are rare intra-abdominal cystic masses which are mostly benign and do not cause specific symptoms. Although imaging tests are useful for their differential diagnosis, histology is mandatory. LEARNING POINTS: Mesenteric pseudocysts are rare intra-abdominal cystic masses with a clinical presentation that sometimes is a diagnostic challenge. Abdominal imaging used to investigate a concomitant systemic illness may reveal a fluid lesion which may delay the diagnosis. Ultrasound, computed tomography and magnetic resonance imaging can be used for pre-operative diagnosis, but exact differentiation is only achieved through histopathological examination. SMC Media Srl 2016-02-01 /pmc/articles/PMC6346947/ /pubmed/30755860 http://dx.doi.org/10.12890/2016_000364 Text en © EFIM 2016 This article is licensed under a Commons Attribution Non-Commercial 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Articles Rosado, Cláudia Raquel Barbosa Machado, Daniela Santos de Magalhães Esteves, Joel Moreira, Rui Filipe dos Santos de Castro Neves, Clarinda Maria A Case of Mesenteric Pseudocyst Causing Massive Abdominal Swelling |
title | A Case of Mesenteric Pseudocyst Causing Massive Abdominal Swelling |
title_full | A Case of Mesenteric Pseudocyst Causing Massive Abdominal Swelling |
title_fullStr | A Case of Mesenteric Pseudocyst Causing Massive Abdominal Swelling |
title_full_unstemmed | A Case of Mesenteric Pseudocyst Causing Massive Abdominal Swelling |
title_short | A Case of Mesenteric Pseudocyst Causing Massive Abdominal Swelling |
title_sort | case of mesenteric pseudocyst causing massive abdominal swelling |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346947/ https://www.ncbi.nlm.nih.gov/pubmed/30755860 http://dx.doi.org/10.12890/2016_000364 |
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