Author/Authors :
Masulovic, Dragan University of Belgrade - Faculty of Medicine, Serbia , Masulovic, Dragan Clinical Center of Serbia, Serbia , Jovanovic, Miodrag Clinical Center of Serbia - HPB Unit, Serbia , Ivanovic, Aleksandar University of Belgrade - Faculty of Medicine, Serbia , Ivanovic, Aleksandar Clinical Center of Serbia, Serbia , Stojakov, Dejan Clinical Center of Serbia - HPB Unit, Serbia , Stojakov, Dejan University of Belgrade - Faculty of Medicine, Serbia , Micev, Marjan Clinical Center of Serbia - Clinic for Digestive Diseases - Department of Pathology, Serbia , Stevic, Ruza University of Belgrade - Faculty of Medicine, Serbia , Stevic, Ruza Clinical Center of Serbia, Serbia , Filipovic, Aleksandar Clinical Center of Serbia, Serbia , Galun, Danijel University of Belgrade - Faculty of Medicine, Serbia
Abstract :
Objective: The aim was to demonstrate a diagnostic challenge of sclerosing mesenteritis initially considered as liposarcoma. Clinical Presentation and Intervention: A 45-yearold man was admitted with a painful abdominal mass. Abdominal computed tomography demonstrated a welldemarcated 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. Conclusion: This case showed that a pseudotumorous type of sclerosing mesenteritis should be considered in the differential diagnosis of the mesenteric tumors.
