A rare case report of sclerosing mesenteritis presenting as a huge abdominal mass

IGG4 sclerosing mesenteritis is a very rare occurrence in the elderly which is often missed or undiagnosed. We present a very rare case of 70-year-old female who presented with vague abdominal discomfort associated with a huge intra-abdominal mass of size 18 cm·10 cm hard in consistency in the left...

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Bibliographic Details
Published inJournal of Advanced Clinical and Research Insights Vol. 5; no. 5; pp. 170 - 172
Main Authors Rudraiah, H. G. M., Vijay Kalke, Siddharth, Desai, Aniruddha
Format Journal Article
LanguageEnglish
Published Bangalore Incessant Nature Science Publishers Private Limited 01.09.2018
Subjects
Abdomen
Anemia
Case reports
Cellular biology
Colonoscopy
Constipation
Histopathology
Surgery
Tomography
India
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Summary:IGG4 sclerosing mesenteritis is a very rare occurrence in the elderly which is often missed or undiagnosed. We present a very rare case of 70-year-old female who presented with vague abdominal discomfort associated with a huge intra-abdominal mass of size 18 cm·10 cm hard in consistency in the left hypochondrium slightly extending into the left lumbar region not associated with any bleeding per rectum, anemia, constipation, or features suggestive of obstruction. Diagnostic dilemma was established when contrastenhanced computed tomography abdomen revealed neoplasia of the transverse colon with luminal narrowing, fine-needle aspiration cytology of the mass revealed desmoid tumor, and colonoscopy revealed no luminal narrowing or mass lesion. Hence, the appropriate treatment plan the intraoperative challenges, and geriatric outcomes were taken into consideration.
ISSN:2393-8625
2393-8625
DOI:10.15713/ins.jcri.237