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.
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Sachdeva, A.K., Penumadu, P., Gochhait, D. et al. Spontaneous Mesenteric Hematoma: A Benign Imposter. Indian J Gynecol Oncolog 15, 29 (2017). https://doi.org/10.1007/s40944-017-0119-z
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DOI: https://doi.org/10.1007/s40944-017-0119-z