PMC9646323_01
Abdominal CT scan.
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The DDx on abdominal ultrasound was a calcified mesenteric cyst with an internal hemorrhage and recommended abdominal CT, and it was done (Figure 1).
The mass with its abdominal wall attachment.
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Upon opening the linea alba, the mass was found to be adherent to the anterior abdominal wall, and it was thick walled (Figure 2).
Cyst arising from the small bowel mesentery.
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The mass was completely excised without sacrificing the mesenteric vessels and without rupture (Figures 3 and 4).
The excised calcified cyst.
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The mass was completely excised without sacrificing the mesenteric vessels and without rupture (Figures 3 and 4).
Low-power photomicrograph revealing fibrotic cyst wall (yellow arrow) and hyalinized pinkish cyst content (red arrow).
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The mass was subjected to histopathology examination (Figures 5-7).
(a, b) High-power photomicrograph revealing an acellular fibrotic cyst wall (red arrow) and focus of calcified cyst wall (blue arrow).
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The mass was subjected to histopathology examination (Figures 5-7).
High-power photomicrograph revealing foci of inner cyst wall lined by a single layer of bland flattened epithelial cells, likely mesothelial cells (red arrowheads) and foci of hemorrhage (blue arrow).
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The mass was subjected to histopathology examination (Figures 5-7).