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Year : 2015  |  Volume : 2  |  Issue : 2  |  Page : 109-111

Laparoscopic management of a rare tumor at an uncommon location: Porta hepatis mesothelial cyst


1 Department of Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
2 Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India

Correspondence Address:
Raja Kalayarasan
Department of Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry - 605 006
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2349-4220.172891

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Mesothelial cysts are rare intra-abdominal fluid-filled cysts that are detected commonly in females on radiological evaluation. Porta hepatis is an uncommon site for these lesions. A 40-year-old female presented with abdominal pain of 2 months duration. Her computed tomography abdomen showed a cystic lesion at the porta hepatis in close proximity to hepatic artery and magnetic resonance imaging showed normal bile duct with a separate cystic lesion at the porta hepatis. Since there were no features of malignancy, a laparoscopic approach was used for cyst excision. With careful dissection, cyst could be excised laparoscopically leaving a small rim of tissue adjacent to hepatic artery. Histological examination showed calretinin positive cells lining the cyst consistent with the mesothelial cyst. At 6 months of follow-up, patient is doing well without signs of recurrence.


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