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Novel diagnosis of mesenteric endometrioma: Case report

RATIONALE: Mesenteric cysts are benign gastrointestinal cystic lesions, with an incidence of <1/100 000. They usually develop in the small bowel mesentery, mesocolon (24%), retroperitoneum (14.5%), and very rarely originate from the sigmoid mesentery. Endometriomas represent a localized type of e...

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Autores principales: Sima, Romina-Marina, Radosa, Julia Caroline, Zamfir, Radu, Ionescu, Cringu-Antoniu, Carp, Delia, Iordache, Ioan-Iulian, Stănescu, Anca-Daniela, Pleş, Liana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709129/
https://www.ncbi.nlm.nih.gov/pubmed/31335696
http://dx.doi.org/10.1097/MD.0000000000016432
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author Sima, Romina-Marina
Radosa, Julia Caroline
Zamfir, Radu
Ionescu, Cringu-Antoniu
Carp, Delia
Iordache, Ioan-Iulian
Stănescu, Anca-Daniela
Pleş, Liana
author_facet Sima, Romina-Marina
Radosa, Julia Caroline
Zamfir, Radu
Ionescu, Cringu-Antoniu
Carp, Delia
Iordache, Ioan-Iulian
Stănescu, Anca-Daniela
Pleş, Liana
author_sort Sima, Romina-Marina
collection PubMed
description RATIONALE: Mesenteric cysts are benign gastrointestinal cystic lesions, with an incidence of <1/100 000. They usually develop in the small bowel mesentery, mesocolon (24%), retroperitoneum (14.5%), and very rarely originate from the sigmoid mesentery. Endometriomas represent a localized type of endometriosis and are usually within the ovary. Our case is unique because there are no reports in the literature of endometrial mesenteric cysts. PATIENT CONCERNS: We present a case of a 29-year-old woman who underwent a routine gynecologic control. DIAGNOSIS: Clinical examination and imaging identified 2 endometriomas on the left and posterior to the uterus. INTERVENTIONS: The patient underwent exploratory laparoscopy. Unexpectedly, a 10 cm mesenteric cyst was identified; this was associated with adhesions in the left adnexal area and a left ovarian endometrioma. The classic surgical approach which was necessary identified the mesenteric cyst with cranial mesosigmoid and ileal adhesions, as well as distal adhesions which included the uterus, ileum, left ovarian endometrioma, left hydrosalpinx, left ureter, and rectum. The cyst was removed completely and a left adnexectomy was performed because of the presence of the endometrioma and adhesions. OUTCOMES: The patient's outcome was favorable, with discharge at 72 hours after surgery. The histopathological report revealed that both the mesenteric and ovarian cysts were endometriomas. LESSONS: Our case is unusual in that a mesenteric cyst was identified in a patient with no clinical symptoms. Furthermore, the histopathological examination revealed the endometriotic origin of the mesenteric cyst which has not previously been reported in the literature.
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spelling pubmed-67091292019-10-01 Novel diagnosis of mesenteric endometrioma: Case report Sima, Romina-Marina Radosa, Julia Caroline Zamfir, Radu Ionescu, Cringu-Antoniu Carp, Delia Iordache, Ioan-Iulian Stănescu, Anca-Daniela Pleş, Liana Medicine (Baltimore) Research Article RATIONALE: Mesenteric cysts are benign gastrointestinal cystic lesions, with an incidence of <1/100 000. They usually develop in the small bowel mesentery, mesocolon (24%), retroperitoneum (14.5%), and very rarely originate from the sigmoid mesentery. Endometriomas represent a localized type of endometriosis and are usually within the ovary. Our case is unique because there are no reports in the literature of endometrial mesenteric cysts. PATIENT CONCERNS: We present a case of a 29-year-old woman who underwent a routine gynecologic control. DIAGNOSIS: Clinical examination and imaging identified 2 endometriomas on the left and posterior to the uterus. INTERVENTIONS: The patient underwent exploratory laparoscopy. Unexpectedly, a 10 cm mesenteric cyst was identified; this was associated with adhesions in the left adnexal area and a left ovarian endometrioma. The classic surgical approach which was necessary identified the mesenteric cyst with cranial mesosigmoid and ileal adhesions, as well as distal adhesions which included the uterus, ileum, left ovarian endometrioma, left hydrosalpinx, left ureter, and rectum. The cyst was removed completely and a left adnexectomy was performed because of the presence of the endometrioma and adhesions. OUTCOMES: The patient's outcome was favorable, with discharge at 72 hours after surgery. The histopathological report revealed that both the mesenteric and ovarian cysts were endometriomas. LESSONS: Our case is unusual in that a mesenteric cyst was identified in a patient with no clinical symptoms. Furthermore, the histopathological examination revealed the endometriotic origin of the mesenteric cyst which has not previously been reported in the literature. Wolters Kluwer Health 2019-07-19 /pmc/articles/PMC6709129/ /pubmed/31335696 http://dx.doi.org/10.1097/MD.0000000000016432 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Research Article
Sima, Romina-Marina
Radosa, Julia Caroline
Zamfir, Radu
Ionescu, Cringu-Antoniu
Carp, Delia
Iordache, Ioan-Iulian
Stănescu, Anca-Daniela
Pleş, Liana
Novel diagnosis of mesenteric endometrioma: Case report
title Novel diagnosis of mesenteric endometrioma: Case report
title_full Novel diagnosis of mesenteric endometrioma: Case report
title_fullStr Novel diagnosis of mesenteric endometrioma: Case report
title_full_unstemmed Novel diagnosis of mesenteric endometrioma: Case report
title_short Novel diagnosis of mesenteric endometrioma: Case report
title_sort novel diagnosis of mesenteric endometrioma: case report
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709129/
https://www.ncbi.nlm.nih.gov/pubmed/31335696
http://dx.doi.org/10.1097/MD.0000000000016432
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