Ousadden Abdelmalek, Elbouhaddouti Hicham, Ibnmajdoub Karim Hassani, Harmouch Taoufiq, Mazaz Khalid, Aittaleb Khalid
Service de Chirurgie Viscérale, Hôpital des Spécialités, CHU Hassan II, Route de Sidi Harazem, Fès, 30070, Morocco.
J Med Case Rep. 2011 Aug 10;5:361. doi: 10.1186/1752-1947-5-361.
A peritoneal simple mesothelial cyst is a very rare mesenteric cyst of mesothelial origin. The size of this lesion usually ranges between a few centimeters and 10 cm. It is usually asymptomatic, but occasionally presents with various, non-specific symptoms, which makes correct pre-operative diagnosis difficult. We present a case of a giant peritoneal simple mesothelial cyst that was successfully managed by complete surgical excision which is the treatment of choice.
A 21-year-old Caucasian Moroccan woman with vague abdominal discomfort and associated distention, during the previous 2 years, without other symptoms, presented to our hospital. Her past medical history was unremarkable. On physical examination, a mobile, painless and relatively hard abdominal mass was palpated. The laboratory examination and abdominal radiograph were unremarkable. Abdominal radiologic imaging showed a cystic mass of 35 × 20 × 10 cm that occupied the entire anterior and right abdominal cavity. Radical excision of the cyst was performed by midline laparotomy without any damage to the adjacent abdominal organs. The histopathological diagnosis was simple mesothelial cyst. The postoperative course was uneventful with no recurrence.
A peritoneal simple mesothelial cyst is a quite rare abdominal tumor, that must always be considered in differential diagnosis of pelvic cystic lesions and other mesenteric cysts. The treatment of choice is the complete surgical excision of the cyst.
腹膜单纯性间皮囊肿是一种非常罕见的起源于间皮的肠系膜囊肿。该病变大小通常在几厘米至10厘米之间。它通常无症状，但偶尔会出现各种非特异性症状，这使得术前正确诊断困难。我们报告一例巨大腹膜单纯性间皮囊肿病例，通过完整手术切除成功治疗，这是首选的治疗方法。
一名21岁的摩洛哥裔白种女性，在过去两年中出现腹部隐痛并伴有腹胀，无其他症状，前来我院就诊。她既往病史无异常。体格检查时，可触及一个可移动、无痛且质地相对较硬的腹部肿块。实验室检查和腹部X光片无异常。腹部影像学检查显示一个大小为35×20×10厘米的囊性肿块，占据了整个前腹腔和右腹腔。通过正中剖腹术对囊肿进行了根治性切除，未对相邻腹部器官造成任何损伤。组织病理学诊断为单纯性间皮囊肿。术后病程顺利，无复发。
腹膜单纯性间皮囊肿是一种相当罕见的腹部肿瘤，在盆腔囊性病变和其他肠系膜囊肿的鉴别诊断中必须始终予以考虑。首选的治疗方法是完整手术切除囊肿。
