Presentation
Work up for abdominal pain.
Patient Data
A 132×125×95 mm thin-walled non-enhanced unilocular cystic lesion is noted in the right iliac fossa. The right ovary could be seen separate from the mentioned cyst, and the appendix appears normal.
The hepatic attenuation value is less than that of the spleen, suggesting fatty liver disease.
A 70 mm simple cortical cyst is noted at the upper pole of the left kidney.
Two 20 mm and 15 mm nodules are at the right adrenal gland. A 12 mm small nodule is also observed in the left adrenal gland. Mean attenuation values and enhancement patterns at all three adrenal nodules are consistent with benign adenomas.
Case Discussion
Findings are most consistent with the mesenteric cyst, a rare cause of abdominal pain. They can occur anywhere in the mesentery and can be further characterised by the wall thickness (thin or thick-walled) and their loculation (unilocular or multilocular).
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