Masulovic Dragan, Jovanovic Miodrag, Ivanovic Aleksandar, Stojakov Dejan, Micev Marjan, Stevic Ruza, Filipovic Aleksandar, Galun Danijel
Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Med Princ Pract. 2016;25(1):93-5. doi: 10.1159/000441454. Epub 2015 Oct 27.
The aim was to demonstrate a diagnostic challenge of sclerosing mesenteritis initially considered as liposarcoma.
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.
This case showed that a pseudotumorous type of sclerosing mesenteritis should be considered in the differential diagnosis of the mesenteric tumors.
旨在证明最初被认为是脂肪肉瘤的硬化性肠系膜炎的诊断挑战。
一名45岁男性因腹部疼痛性肿块入院。腹部计算机断层扫描显示其左半腹有一个边界清晰的肿瘤，有大量脂肪成分和提示脂肪肉瘤的软组织衰减区域。术中发现肿瘤起源于大网膜。肿瘤被完全切除，组织病理学证实为假瘤型硬化性肠系膜炎，伴有主要的肠系膜脂肪营养不良。
该病例表明，在肠系膜肿瘤的鉴别诊断中应考虑假瘤型硬化性肠系膜炎。
