A rare presentation of mass abdomen.
An elderly male who had undergone inguinal hernia surgery eight years back presented with an intra-abdominal mass. Clinically and radiologically it was diagnosed as mesenteric cyst. Laparotomy revealed a thick walled cyst embedded in the omentum, containing brownish necrotic material and few 'linen thread knots'. On the basis of the latter finding the mass was thought to be a walled off hematoma, a complication of previous hernia surgery. Such a complication of inguinal surgery has not been reported earlier.
Kalinga Hospital; Hi Tech Medical College and Hospital, Bhubaneshwar, India.
Ambika P
AP
Dash
Tapas
T
Mishra
Md
M
Ibrarullah