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Sclerosing Mesenteritis Presenting as a Pseudotumor of the Greater Omentum.

Research paper by Dragan D Masulovic, Miodrag M Jovanovic, Aleksandar A Ivanovic, Dejan D Stojakov, Marjan M Micev, Ruza R Stevic, Aleksandar A Filipovic, Danijel D Galun

Indexed on: 06 Oct '15Published on: 06 Oct '15Published in: Medical principles and practice : international journal of the Kuwait University, Health Science Centre



Abstract

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.