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Case Reports in Medicine
Volume 2010 (2010), Article ID 725050, 3 pages
http://dx.doi.org/10.1155/2010/725050
Case Report

Large Mesenteric Cyst Mimicking Tuberculous Ascites

1Department of Gastroenterology, Yuzuncu Yil University, PK 65300, Van, Turkey
2Department of Obstetrics and Gynaecology, Yuzuncu Yil University, PK 65300, Van, Turkey
3Department of Radiology, Yuzuncu Yil University, PK 65300, Van, Turkey

Received 17 December 2009; Revised 16 April 2010; Accepted 20 April 2010

Academic Editor: Johann Pfeifer

Copyright © 2010 Cumhur Dulger et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Intraabdominal lesions such as mesenteric cysts are uncommon disorders. Most are discovered incidentally during routine abdominal examinations. Methods. We report a patient with a mesenteric cyst masquerading as tuberculous peritonitis and ascites. Conclusion. Mesenteric cysts generally do not show typical clinical findings. They may also present with peritoneal tuberculosis findings such as low albumin gradient ascites with high ascitic adenosine deaminase levels. Surgery is used to remove a wide variety of mesenteric cysts. A correct diagnosis can be made by the combined use of radiographic and sonographic examinations in conjunction with the clinical signs.