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

Abstract

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.

• Authors: Matthias Zeiler, Stefano Santarelli, Angela Maria Cangiotti, Rosa Maria Agostinelli, Tania Monteburini, Rita Marinelli, Emilio Ceraudo, Giorgio Cutini
• Journal: Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association (Nephrol Dial Transplant) Vol. 25 Issue 3 Pg. 1004-6 (Mar 2010) ISSN: 1460-2385 [Electronic] England
• PMID: 20031933 (Publication Type: Case Reports, Journal Article)

Topics

• Epithelium
• Female
• Humans
• Hydronephrosis (etiology, therapy)
• Mesenteric Cyst (diagnosis, etiology, surgery)
• Middle Aged
• Peritoneal Dialysis
• Peritonitis (complications)
• Radiotherapy (adverse effects)
• Recurrence
• Renal Dialysis