A Mesothelial Inclusion Cyst Presenting in a 40-Year-Old Woman as Abdominal Pain and Bloating – A Rare Diagnosis

  • Sonia Canadas Medicine Department, Internal Medicine Service, Hospital Sousa Martins, Guarda, Portugal
  • Rita Fernandes Medicine Department, Internal Medicine Service, Hospital Sousa Martins, Guarda, Portugal
  • Hugo Almeida Medicine Department, Internal Medicine Service, Hospital Sousa Martins, Guarda, Portugal
  • João Santiago Correia Medicine Department, Internal Medicine Service, Hospital Sousa Martins, Guarda, Portugal

Keywords

Mesothelial inclusion cyst, benign mesothelioma, mesenteric cyst, peritoneal mesothelioma, neoplasm

Abstract

Cystic mesotheliomas (also called mesothelial inclusion cysts) are rare benign neoplasms that occur more often in young women. Symptoms are usually non-specific, demanding a thorough work-up. We report a case of a 40-year-old female patient with 2 prior caesarean sections presenting with a 3-month history of abdominal pain. Laboratory tests revealed microcytic hypochromic anaemia and an elevated tumour marker CA-125. An investigation identified a large cystic abdominal mass, mostly in the left side of the abdomen. A laparotomy was performed with total resection of the lesion. Histological assessment resulted in a diagnosis of a mesothelial inclusion cyst. The patient had no recurrence after 3 years.

VIEW THE ENTIRE ARTICLE

References

  • de Perrot M, Bründler MA, Tötsch M, Mentha G, Morel P. Mesenteric cysts. Toward less confusion? Dig Surg 2000;17:323–328.

  • Sarasa MA, Ghai S, Metser U, Kennedy E, Vajpeyi R. A practical approach to cystic peritoneal masses and neoplasms: pearls and tips. Educational Exhibit. ECR 2013:C-2522.

  • Safioleas MC, Constantinos K, Michael S, Konstantinos G, Constantinos S, Alkiviadis K. Benign multicystic peritoneal mesothelioma: a case report and review of the literature. World J Gastroenterol 2006;12:5739–5742.

  • Park JY, Kim KW, Kwon H-J, Park M-S, Kwon GY, Jun S-Y, et al. Peritoneal mesotheliomas: clinicopathologic features, CT findings, and differential diagnosis. Am J Roentgenol 2008;191:814–825.

  • Soon DS, Shilton H, Andrabi A. Mesothelial inclusion cyst: a rare occurrence. J Surg Case Rep 2016;12:1–3.
  • Published: 2020-01-24

    Issue: Vol 7 No 2 (view)

    Section: Articles

    How to cite:
    1.
    Canadas S, Fernandes R, Almeida H, Santiago Correia J. A Mesothelial Inclusion Cyst Presenting in a 40-Year-Old Woman as Abdominal Pain and Bloating – A Rare Diagnosis. EJCRIM [Internet]. 2020Jan.24 [cited 2020Sep.25];7(2). Available from: https://www.ejcrim.com/index.php/EJCRIM/article/view/1415

    Most read articles by the same author(s)