Abstract

Mesenteric cysts are uncommon benign abdominal lesions with no specific clinical features. Their occurrence during hemodialysis is exceptional. We report the case of a 22-year-old patient who had been treated with peritoneal dialysis for 2 years and was subsequently transferred to hemodialysis because of refractory peritonitis. Three years later, he presented with a progressive abdominal distension caused by a large mass extending from the epigastric to the pelvic region. Exploratory laparoscopy revealed a giant cystic lesion occupying the entire peritoneal cavity. Complete surgical excision was performed. Histopathological examination confirmed a benign mesenteric cyst of mesothelial origin. This rare complication may be associated with previous peritoneal dialysis, recurrent peritonitis, and a chronic inflammatory state.

Author Details

Authors

• Sarra Hadded¹,⁴
• Chayma Soltani²
• Wael Ferjaoui³,⁴
• Yosra Ben Ariba²,⁴
• Jannet Laabidi²,⁴

Departments

• ¹ Department of Nephrology, Mongi Slim Hospital,
• ² Department of Nephrology,
• ³ Department of General Surgery, Military Hospital of Tunis, and
• ⁴ Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia

Address

Sarra Hadded, MD, Department of Nephrology, Mongi Slim Hospital, Tunis, Tunisia
Email: [email protected]

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