An unusual presentation of acute abdomen: infarcted peritoneal cyst-a probable asbestos-related benign cystic mesothelioma.

Abstract

This is a report of a rare case of an infarcted pelvic intra-abdominal cyst, having no mesenteric connection presenting as an acute abdomen. The patient had significant asbestos exposure. The cyst was treated successfully by surgical excision. Histopathology showed an infarcted cyst; the lining was destroyed, precluding marker studies. A diagnosis of benign cystic peritoneal mesothelioma (BCPM) was made by excluding other causes of solitary pelvic intra-abdominal cysts. BCPM has been classified as an asbestos-related neoplasm and is usually seen in the pelvis adjunct to the urinary bladder. One-year post-surgery, there was no recurrence. The case report shows that infarcted pelvic mesothelial cysts can present as an acute abdomen and can be treated successfully by total excision with no recurrence.

• Authors: Venkiteswaran Muralidhar
• Journal: Journal of surgical case reports (J Surg Case Rep) Vol. 2021 Issue 4 Pg. rjab129 (Apr 2021) ISSN: 2042-8812 [Print] England
• PMID: 33927865 (Publication Type: Case Reports)
• Copyright: Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2021.