Spontaneous Mesenteric Hematoma: A Benign Imposter

  • Ashwani Kumar Sachdeva
  • Prasanth Penumadu
  • Debasis Gochhait
  • Suneel Kaushik
Case Report
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Abstract

Background

Mesenteric hematomas in the small bowel mesentery are often seen and usually follow inciting events such as trauma and vascular aneurysms. Uncommonly, some hematomas are seen where no underlying cause could be identified. Irrespective of the cause, diagnosis of the mesenteric hematomas is usually made on radiological investigations and can be managed conservatively in a majority of the cases unless progressive or associated with other complications.

Case

In the present case, mesenteric hematoma presented with features which clinically and radiologically mimicked ovarian cancer which led to surgical intervention.

Conclusion

Diagnostic dilemma imposed by these uncommon benign lesions subject patients to unnecessary investigations and surgical interventions which can be avoided by having a broader vision and keeping this condition as a differential in the diagnosis of ovarian cancer.

Keywords

Spontaneous mesenteric hematoma Ovarian cancer Imposter 

Notes

Compliance with Ethical Standards

Conflict of interest

There are no conflicts of interest in the preparation of this manuscript.

Informed Consent

Research involved human participant, and an informed consent was obtained from patient for publication of data for research purpose without disclosure of identity.

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Copyright information

© Association of Gynecologic Oncologists of India 2017

Authors and Affiliations

  1. 1.Department of Surgical OncologyJawaharlal Institute of Postgraduate Medical Education and ResearchPuducherryIndia
  2. 2.Department of PathologyJawaharlal Institute of Postgraduate Medical Education and ResearchPuducherryIndia

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