Challenging Diagnosis of Mesenteric Mucinous Adenocarcinoma Clinically Suspected Primary Ovarian Malignancy: Rare Presentation
Year: 2024
Type: article
Abstract: : A 37-year-old woman presented with lower abdominal pain, palpable mass in the left lower quadrant, nausea, vomiting, and absence of bowel movements. Initial ultrasound suggested a 9cm fibroid, however, MRI and CT scans revealed a malignant central mass with significant ascites, suspecting a mesenteric hematoma. Elevated CA-125 prompted further investigation. Surgical intervention revealed a large mesenteric mass, leading to a midline laparotomy, left salpingo?oophorectomy, and sigmoid colectomy. Pathology confirmed well-differentiated mesenteric mucinous adenocarcinoma with an unclear primary origin, possibly ovarian. Postoperative follow-up included regular CA-125, CEA monitoring, and periodic CT scans. Despite extensive evaluations, the primary origin remained undetermined. The patient is under regular follow-up. This case highlights the diagnostic challenges and importance of a multidisciplinary approach and emphasises the need for individualised patient management strategies. Keywords: Mesenteric mucinous adenocarcinoma; Mesenteric mass; ovarian cancer; Diagnostic challenge; Multidisciplinary approach
Source: Figshare
Authors: SN, Nawaz, NG, Ghaoui
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W6958457680
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