Case Report

Localized early mesenteric Castleman's disease presenting as recurrent intestinal obstruction: a case report

Dina El Demellawy^1,2 , Chaturika Herath² , Francoise Truong² , Ahmed Nasr³ and Salem Alowami⁴

¹  Department of Pathology, Northern Ontario School of Medicine, Thunder Bay, Ontario, Canada

²  Department of Laboratory Medicine, William Osler Health Center-Brampton Civic Hospital, Brampton, Ontario, Canada

³  Department of Surgery, Sick Kids Hospital, University of Toronto, Toronto, Ontario, Canada

⁴  Department of Pathology and Molecular Medicine, McMaster University, Hamilton Health Sciences Center, Hamilton, Ontario, Canada

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Diagnostic Pathology 2009, 4:42doi:10.1186/1746-1596-4-42

Published:	4 December 2009

Abstract

Primary neoplasms of the mesentery are very rare. They are usually of mesenchymal origin and include desmoid tumor, lipoma, liposarcoma, and fibrosarcoma. Metastatic carcinomas and lymphoma are more common. We report a rare case of localized mesenteric Castleman's disease, presenting as intestinal obstruction. Clinical and radiological findings were suspicious for lymphoma. Localized mesenteric Castleman's disease, though rare, has to be considered in the differential diagnosis of mesenteric tumors, particularly in the young and in the absence of history for other tumor, an abnormal blood picture, or splenomegaly.