Complexities of Diagnosing and Treating a Mesenteric Cyst in a Chronic Myeloid Leukaemia Patient

  • Carlos Fernando Dias Rodrigues Serviço de Medicina Interna, Hospital de Aveiro, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
  • Gisela Ferreira Serviço de Hematologia, Hospital de Aveiro, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
  • Eduardo Oliveira Serviço de Cirurgia, Hospital de Aveiro, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
  • Marta S. Oliveira Serviço de Medicina Interna, Hospital de Aveiro, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
  • Sara Pinto Serviço de Medicina Interna, Hospital de Aveiro, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
  • João Fonseca Serviço de Medicina Interna, Hospital de Aveiro, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal

Keywords

Mesenteric cyst, chronic myeloid leukaemia, abdominal mass, ascites

Abstract

Mesenteric cysts are a rare nosologic entity, the diagnosis of which is complex due to their nonspecific presentation. They may emerge from any part of the mesentery and grow to any size, thus conditioning a wide range of clinical manifestations that renders them easily mistaken for different gastrointestinal pathologies. Diagnosis encompasses a mixture of clinical suspicion, imaging techniques and sometimes surgery, and curative treatment is based on complete surgical resection of the cyst. We hereby present a case of a mesenteric cyst that developed on the anterior abdominal wall of a 59-year-old man awaiting allogeneic bone marrow transplantation after being diagnosed with chronic myeloid leukaemia. He was admitted to the emergency room with complaints of an increased abdominal perimeter and increased weight, not associated with alterations to his dietary or physical exercise habits. Suspecting ascites in the context of leukaemic progression, the patient was admitted to the medical ward; however, subsequent study identified a mesenteric cyst as the most probable diagnosis and the patient was proposed to undergo surgery. He underwent laparotomic cyst excision without complications and the histological evaluation of the surgical specimen confirmed the diagnosis.

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  • Published: 2020-02-21

    Issue: Vol 7 No 4 (view)

    Section: Articles

    How to cite:
    1.
    Rodrigues CFD, Ferreira G, Oliveira E, Oliveira MS, Pinto S, Fonseca J. Complexities of Diagnosing and Treating a Mesenteric Cyst in a Chronic Myeloid Leukaemia Patient. EJCRIM [Internet]. 2020Feb.21 [cited 2020Sep.26];7(4). Available from: https://ejcrim.com/index.php/EJCRIM/article/view/1457

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