Giant mesenteric cyst of mesothelial origin in a haemodialysis patient with previous peritoneal dialysis therapy.
A 55-year-old female haemodialysis patient presented progressive abdominal liquid formation after having been excluded from peritoneal dialysis therapy because of recurrent peritonitis. Ultrasound was suspicious for ascites secondary to sclerosing peritonitis. Computed tomography revealed a thin-walled mesenteric cyst extending from the epigastric to the pelvic region. The cyst was excised incompletely as extensive adhesions were present. Histology was consistent with a mesothelial cyst of inflammatory origin. Three months after surgery, ultrasound detected a local recurrence at the descending colon. This case emphasizes the relation between mesenteric cyst, persistent inflammatory status and preceding peritoneal dialysis complicated by peritonitis.
Zeiler
Matthias
M
Department of Nephrology, Ospedale "Augusto Murri", Jesi, Italy. mrhz1@yahoo.com
Santarelli
Stefano
S
Cangiotti
Angela Maria
AM
Agostinelli
Rosa Maria
RM
Monteburini
Tania
T
Marinelli
Rita
R
Ceraudo
Emilio
E
Cutini
Giorgio
G
D004848:Epithelium; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology / Q000628:therapy*; D008639:Mesenteric Cyst / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D008875:Middle Aged; D010530:Peritoneal Dialysis; D010538:Peritonitis / Q000150:complications; D011878:Radiotherapy / Q000009:adverse effects; D012008:Recurrence; D006435:Renal Dialysis