Deepa Jahagirdar, Ashwinee Rahalkar, Raj Gajbhiye, Bhupesh Tirpude, Hemant Bhanarkar, Prasad Upganlawar. Government medical college, Nagpur, India
A 50 year/ female patient admitted in our medicine department for fever, cough with expectoration and chest pain since 5 days. She was a known case of idiopathic thrombocytopenic purpura. She then developed pleural effusion of left side and later on developed empyema for which was treated. She was treated for all the above mentioned conditions in our hospital. She had undergone a series of investigations and was incidentally found to have a lumbar mass. On the basis of CT scan of abdomen and FNAC from the lumbar mass, the mass was thought to be a carcinoid tumour of the mesentery. The patient was then considered for surgical management after treating all other co-morbidities. The tumour was then removed laparoscopically. The tumour was situated in the mesentery of descending colon. The tumour was situated near the inferior mesenteric artery. During dissection of tumour the inferior mesenteric artery and its branches were safeguarded and tumour was dissected all around. The histopathological report of the excised specimen came out to be Castleman’s disease of solitary type. Castleman’s disease is an abnormal lymphoproliferative disorder first described by Dr Benjamin Castleman. There are very few documented cases of castleman’s disease in the mesentery and even fewer cases treated laparoscopically. No similar studies were seen with other co-morbidities as in our case. Also, in spite of all other co- morbidities, the patient was successfully treated for all those conditions and was discharged on post-operative day 12. Patient is found to be free of any symptoms during our regular follow up.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95894
Program Number: V360
Presentation Session: Video Loop Day 4
Presentation Type: VideoLoop