Mesothelial cyst of the round ligament of the liver

A 34-year-old man was admitted in our department with a 3 months history of epigastric pain, abdominal distension and tenderness. Helical computed tomography scan and magnetic resonance imaging showed a 10 cm low-density fluid-filled polilobate cystic lesion with internal septations and calcificatio...

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Main Authors: Fabio Carboni, Mario Valle, Ida Camperchioli, Giovanni Battista Levi Sandri, Steno Sentinelli, Alfredo Garofalo
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Journal of Minimal Access Surgery
Subjects:
Online Access:http://www.journalofmas.com/article.asp?issn=0972-9941;year=2016;volume=12;issue=1;spage=83;epage=85;aulast=Carboni
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spelling doaj-0fb09a2d179b43dea923c493567838182020-11-24T23:20:12ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212016-01-01121838510.4103/0972-9941.158954Mesothelial cyst of the round ligament of the liverFabio CarboniMario ValleIda CamperchioliGiovanni Battista Levi SandriSteno SentinelliAlfredo GarofaloA 34-year-old man was admitted in our department with a 3 months history of epigastric pain, abdominal distension and tenderness. Helical computed tomography scan and magnetic resonance imaging showed a 10 cm low-density fluid-filled polilobate cystic lesion with internal septations and calcifications located between the left lobe of the liver, shorter gastric curvature, pancreas and mesocolon. Laparoscopic exploration was performed. Macroscopically the lesion was a unilocular serous cyst with a thick fibrous wall. Histopathology revealed a thin fibrous wall with a single layer of flattened to cuboidal mesothelial cell lining lacking any cellular atypia. The patient is currently alive without evidence of recurrence at 6 months. Cysts of mesothelial origin are rare lesions seen more frequently in young and middle-aged women, mostly benign and located in the mesenteries or omentum. Diagnosis is usually based on clinical examination and radiographic imaging. Immunohistochemistry is used to differentiate histologic type, with simple mesothelial cysts being positive for cytokeratins and calretinin and negative for CD31. The laparoscopic approach appears safe, feasible and less-invasive without compromising surgical principles and today should be considered the gold standard in most cases.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2016;volume=12;issue=1;spage=83;epage=85;aulast=CarboniCystic lesionepigastric painlaparoscopic surgery
collection DOAJ
language English
format Article
sources DOAJ
author Fabio Carboni
Mario Valle
Ida Camperchioli
Giovanni Battista Levi Sandri
Steno Sentinelli
Alfredo Garofalo
spellingShingle Fabio Carboni
Mario Valle
Ida Camperchioli
Giovanni Battista Levi Sandri
Steno Sentinelli
Alfredo Garofalo
Mesothelial cyst of the round ligament of the liver
Journal of Minimal Access Surgery
Cystic lesion
epigastric pain
laparoscopic surgery
author_facet Fabio Carboni
Mario Valle
Ida Camperchioli
Giovanni Battista Levi Sandri
Steno Sentinelli
Alfredo Garofalo
author_sort Fabio Carboni
title Mesothelial cyst of the round ligament of the liver
title_short Mesothelial cyst of the round ligament of the liver
title_full Mesothelial cyst of the round ligament of the liver
title_fullStr Mesothelial cyst of the round ligament of the liver
title_full_unstemmed Mesothelial cyst of the round ligament of the liver
title_sort mesothelial cyst of the round ligament of the liver
publisher Wolters Kluwer Medknow Publications
series Journal of Minimal Access Surgery
issn 0972-9941
1998-3921
publishDate 2016-01-01
description A 34-year-old man was admitted in our department with a 3 months history of epigastric pain, abdominal distension and tenderness. Helical computed tomography scan and magnetic resonance imaging showed a 10 cm low-density fluid-filled polilobate cystic lesion with internal septations and calcifications located between the left lobe of the liver, shorter gastric curvature, pancreas and mesocolon. Laparoscopic exploration was performed. Macroscopically the lesion was a unilocular serous cyst with a thick fibrous wall. Histopathology revealed a thin fibrous wall with a single layer of flattened to cuboidal mesothelial cell lining lacking any cellular atypia. The patient is currently alive without evidence of recurrence at 6 months. Cysts of mesothelial origin are rare lesions seen more frequently in young and middle-aged women, mostly benign and located in the mesenteries or omentum. Diagnosis is usually based on clinical examination and radiographic imaging. Immunohistochemistry is used to differentiate histologic type, with simple mesothelial cysts being positive for cytokeratins and calretinin and negative for CD31. The laparoscopic approach appears safe, feasible and less-invasive without compromising surgical principles and today should be considered the gold standard in most cases.
topic Cystic lesion
epigastric pain
laparoscopic surgery
url http://www.journalofmas.com/article.asp?issn=0972-9941;year=2016;volume=12;issue=1;spage=83;epage=85;aulast=Carboni
work_keys_str_mv AT fabiocarboni mesothelialcystoftheroundligamentoftheliver
AT mariovalle mesothelialcystoftheroundligamentoftheliver
AT idacamperchioli mesothelialcystoftheroundligamentoftheliver
AT giovannibattistalevisandri mesothelialcystoftheroundligamentoftheliver
AT stenosentinelli mesothelialcystoftheroundligamentoftheliver
AT alfredogarofalo mesothelialcystoftheroundligamentoftheliver
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