Giant mesenteric cyst of mesothelial origin in a haemodialysis patient with previous peritoneal dialysis therapy

Zeiler, Matthias; Santarelli, Stefano; Cangiotti, Angela Maria; Agostinelli, Rosa Maria; Monteburini, Tania; Marinelli, Rita; Ceraudo, E; G, Cutini

doi:10.1093/ndt/gfp680

Cited by 8 publications

(4 citation statements)

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“…Its etiopathogenesis is still debated [ 1 , 2 ]. The prevailing theory considers BMPM as the result of a persistent inflammatory status involving the peritoneum because of its association with endometriosis, pelvic inflammatory disease, previous abdominal surgery, and recurrent peritonitis episodes associated with peritoneal dialysis and familial Mediterranean fever [ 3 , 18 , 19 ]. According to this hypothesis, a persistent inflammatory process would result in a reactive hyperplastic and dysplastic transformation of mesothelial cells.…”

Section: Discussionmentioning

confidence: 99%

Benign Multicystic Peritoneal Mesothelioma in a Male Patient with Previous Wilms’ Tumor: A Case Report and Review of the Literature

Canu

Medas

Columbano

et al. 2018

Case Reports in Surgery

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Benign multicystic peritoneal mesothelioma (BMPM) is a rare condition, more common in females of reproductive age, which arises from the peritoneal mesothelium. A 33-year-old male presented to our unit with abdominal pain and constipation. His past medical history included a previous unilateral nephrectomy for Wilms' tumor and the previous incidental finding of some intra-abdominal cystic formations at the level of the mesentery. After performing a CT scan, an exploratory laparotomy was done and a voluminous cystic mesenteric mass, composed of 3 confluent formations, was observed. Some other similar but significantly smaller lesions were found. An en bloc resection of the mesenteric mass together with the corresponding intestinal loops, an appendicectomy, and some peritoneal biopsies were performed. The postoperative period was complicated by a peritonitis due to dehiscence of the intestinal anastomosis, which required another operation, and a delayed return of normal bowel function, which was resolved through prokinetic therapy. Through histological examination, a BMPM was diagnosed. At 8 months of follow-up, the patient is free of symptoms. BMPM exact etiopathogenesis still remains uncertain. Given his high recurrence rate, a long-term follow-up is recommended.

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Section: Discussionmentioning

confidence: 99%

Benign Multicystic Peritoneal Mesothelioma in a Male Patient with Previous Wilms’ Tumor: A Case Report and Review of the Literature

Canu

Medas

Columbano

et al. 2018

Case Reports in Surgery

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“…Complete excision by laparoscopic or open technique is considered the gold standard to prevent recurrence or malignant transformation, which could occur in 3% of cases [13]. While follow-up periods using ultrasound imaging range from 3 to 48 months in the literature, there appears to be minimal benefit in long-term follow-up as recurrence is rare and generally occurs early [14].…”

Section: Discussionmentioning

confidence: 99%

Large mesenteric cyst

Manuel¹,

Cristina²,

Conceição³

et al. 2018

Int J Case Rep Images

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Introduction: Mesenteric cysts are rare benign lesions. They usually remain asymptomatic and in most cases are incidentally discovered. However, they can reach large dimensions conditioning pain, abdominal distension or sensation of an abdominal mass. The definitive diagnosis is often made during surgery that should involve total removal of the lesion. Knowledge of these lesions is important because of the existence of complications associated with ineffective surgery. This paper reports the surgical treatment of a large mesenteric cyst. Case Report: We report a 20-year-old male with an history of abdominal distension without pain, nausea or vomits. The image examinations revealed a large cystic mass involving the entire abdominopelvic cavity. The patient underwent an exploratory laparotomy and the cyst was excised. The histological examination revealed a serous cyst 33 cm in diameter, without evidence of malignancy. Conclusion: Mesenteric cysts are uncommon lesions that can present asymptomatically or with nonspecific symptoms. Complete resection of the cyst could be challenge but is still the best therapy.

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“…Complete excision by laparoscopic or open technique is gold standard while simple aspiration or marsupialisation demonstrate higher recurrence rates. While follow-up periods in the literature ranged from 3 to 48 months using ultrasound imaging,3 there appears to be minimal benefits in long-term follow-up as recurrence is rare and generally occurs early.…”

Section: Descriptionmentioning

confidence: 99%