Abstract

Mesenteric masses are rare intra-abdominal tumors that may present as either cystic or solid lesions, with benign or malignant potential. They are usually asymptomatic and typically identified incidentally during the investigation of patients for nonspecific abdominal complaints. In our manuscript, we report the case of a 42-year-old multiparous woman who was discovered to have a mesenteric mass on ultrasound during evaluation for symptomatic cholelithiasis. Contrast-enhanced CT scan revealed a 4x3.5 cm solid lesion in the mesentery of the jejunum close to the superior mesenteric artery. Endoscopic ultrasound failed to localize the mass and MRI was not done due to the patient’s claustrophobia. The patient subsequently underwent laparoscopic cholecystectomy along with excision of the mass. Histopathological examination was consistent with strangulated epiploic appendage. Epiploic appendages are uncommon incidental finding that are rarely seen outside the colonic region. Knowledge of this pathology and its radiological characteristics is fundamental for prompt diagnosis and early management.