A Mesothelial Inclusion Cyst Presenting in a 40-Year-Old Woman as Abdominal Pain and Bloating – A Rare Diagnosis
  • Sonia Canadas
    Medicine Department, Internal Medicine Service, Hospital Sousa Martins, Guarda, Portugal
  • Rita Fernandes
    Medicine Department, Internal Medicine Service, Hospital Sousa Martins, Guarda, Portugal
  • Hugo Almeida
    Medicine Department, Internal Medicine Service, Hospital Sousa Martins, Guarda, Portugal
  • João Santiago Correia
    Medicine Department, Internal Medicine Service, Hospital Sousa Martins, Guarda, Portugal

Keywords

Mesothelial inclusion cyst, benign mesothelioma, mesenteric cyst, peritoneal mesothelioma, neoplasm

Abstract

Cystic mesotheliomas (also called mesothelial inclusion cysts) are rare benign neoplasms that occur more often in young women. Symptoms are usually non-specific, demanding a thorough work-up. We report a case of a 40-year-old female patient with 2 prior caesarean sections presenting with a 3-month history of abdominal pain. Laboratory tests revealed microcytic hypochromic anaemia and an elevated tumour marker CA-125. An investigation identified a large cystic abdominal mass, mostly in the left side of the abdomen. A laparotomy was performed with total resection of the lesion. Histological assessment resulted in a diagnosis of a mesothelial inclusion cyst. The patient had no recurrence after 3 years.

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    Published: 2020-01-24
    Issue: 2020: Vol 7 No 2 (view)

    How to cite:
    1.
    Canadas S, Fernandes R, Almeida H, Santiago Correia J. A Mesothelial Inclusion Cyst Presenting in a 40-Year-Old Woman as Abdominal Pain and Bloating – A Rare Diagnosis. EJCRIM 2020;7 doi:10.12890/2020_001415.

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