MULETA BEFKENE WAYESSA

Adama Hospital Medical College Adama, Oromia,
Ethiopia

Abstract Title: Challenges In Diagnosing Mesenteric Cyst Schistosomiasis: A Case Report Of Huge Mesenteric Cyst

Biography:

Dr. Muleta Befkene Wayessa is currently an Assistant professor of Gynecology and Obstetrics at Adama Hospital Medical College, Adama Ethiopia, and previously a general practitioner at the same hospital. Born in Shoa, Ethiopia, graduated MD degree from Jimma University after which he served as a general practitioner and Hospital Medical service director at Adama Hospital Medical College then I attended Medical College at Adama Hospital Medical College gaining his specialty certificate in Gynecology and Obstetrics. Currently teaching undergraduate medical students, mentoring postgraduate students, and research advisor. I Am also involved in Health service management and managing a General Hospital

Research Interest:

Background:
Mesenteric cysts are rare intra-abdominal lesions that may mimic other cystic masses, including ovarian cysts. These cysts can present with non-specific symptoms such as abdominal pain, swelling, and, less commonly, gastrointestinal disturbances. Misdiagnosis may lead to unnecessary surgical procedures such as oophorectomy, which can affect fertility. Diagnostic imaging, including ultrasound and CT, is crucial for differentiating mesenteric cysts from ovarian and other intra-abdominal cysts, but definitive diagnosis requires histopathological examination. Case Presentation We present a case of an 18-year-old female with progressive abdominal swelling, which was initially suspected to be an ovarian tumor but was later diagnosed intra-operatively as a large mesenteric cyst arising at the link of the mesenteric colon and pathologic evidenced inflammatory cystic mass associated with deposition of an egg of schistosomiasis. Advanced imaging revealed a large intra-peritoneal cystic mass, and the patient underwent a successful surgical excision. Histopathology confirmed mesenteric schistosomiasis.

Conclusion: This case underscores the importance of differential diagnosis and histopathological confirmation in avoiding unnecessary surgical procedures, particularly in endemic regions

 Keywords: Mesenteric cyst, schistosomiasis, Ovarian cyst mimicry, Histopathology, Abdominal cystic mass, Adama