A woman 49 year-old with a critical left flank pain for 1 day which was progressed continously. It made the woman in rigidity of her body to against her abdominal pain and to defecate many times.
Ultrasound detected a #58 mm well-limited mass containing sludgy fluid full-filled at left side of abdomen nearby her left kidney, and abdominal wall. And a renal cystic and a kidney stone also existed.
MSCT confirmed a # 50x60 mm mesenteric cystic tumor as it was non captured CE, HU 51.0 maybe a mesenteric cyst including hemangioma that adhered to left colon, left kidney and abdominal wall.
Endoscopic surgery revealed the mass adhered the mesentery and the left colon, and the abdominal wall, then an open surgery was done.
Microscopic result was a hemorrhagic hemangioma of the mesentery.
Hemangioma in hemorrhagia of the mesentery is a rare entity. The scenario is too complex for exactly diagnosing pre-op.
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