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Medical Principles and Practice. 2016; 25 (1): 93-95
em Inglês | IMEMR | ID: emr-175859

RESUMO

Objective: The aim was to demonstrate a diagnostic challenge of sclerosing mesenteritis initially considered as liposarcoma


Clinical Presentation and Intervention: A 45-year-old man was admitted with a painful abdominal mass. Abdominal computed tomography demonstrated a well- demarcated tumor in his left hemiabdomen, with a large fat component and areas of soft tissue attenuation suggestive of liposarcoma. Intraoperative findings showed a tumor arising from the greater omentum. The tumor was completely removed, and histopathology confirmed a pseudotumorous type of sclerosing mesenteritis with dominant mesenteric lipodystrophy


Conclusion: This case showed that a pseudotumorous type of sclerosing mesenteritis should be considered in the differential diagnosis of the mesenteric tumors


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Granuloma de Células Plasmáticas , Omento , Lipossarcoma , Tomografia Computadorizada por Raios X , Intestino Delgado
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