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Mesenteric hematoma mimicking a neoplasm--a case report.
Kim Vaiphei1, Vikas Gupta, Loga-Sundaran Rajesh
1Department of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, Pin-160012, India. kvaiphei@gmail.com
Annals of Diagnostic Pathology
|March 21, 2006
Summary
Mesenteric hematoma is a rare condition. A patient initially treated for retroperitoneal leiomyosarcoma was later diagnosed with an organized hematoma mimicking tumor recurrence.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Retroperitoneal leiomyosarcoma is a rare malignancy.
- Surgical resection is a primary treatment modality.
- Post-operative surveillance is crucial for detecting recurrence.
Observation:
- A 24-year-old male presented with an upper abdominal mass 9 months post-surgery for retroperitoneal leiomyosarcoma.
- Computerized tomography (CT) scan identified a mesenteric mass near the proximal ileum.
- The mass was initially suspected to be a tumor recurrence.
Findings:
- Exploratory laparotomy was performed for suspected tumor recurrence.
- Surgical resection of the mesenteric mass was completed.
- Histopathological examination revealed the mass to be an organized hematoma, not a tumor recurrence.
Implications:
- This case highlights the importance of considering uncommon differential diagnoses, such as organized hematoma, in patients with a history of retroperitoneal leiomyosarcoma.
- It underscores the potential for imaging findings to mimic tumor recurrence.
- Accurate histopathological diagnosis is essential for appropriate patient management and avoiding unnecessary oncological treatment.