College of American Pathologists

2012 — May Case of the Month

Posted May 8, 2012


CAP Foundation May Online Case of the Month

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A 31-year-old man with a remote history of blunt abdominal trauma complained of generalized abdominal pain, occasionally associated with post-prandial nausea. He sought medical attention after feeling a “lump” in his abdomen. Radiologic scans revealed a mesenteric mass suspicious for malignancy. The patient underwent a partial small bowel resection, including the mesentery which was eccentrically thickened in one area. The thickening extended to the small bowel serosa but did not extend into the bowel wall, which was grossly normal.

The master list with the correct answer

  • Hodgkin Disease
  • Liposarcoma
  • Mesenteric Fibromatosis
  • Metastatic signet ring cell carcinoma
  • Sclerosing mesenteritis

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  • Appropriate diagnosis
  • Critique
  • References

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