A case of castleman's disease of transverse mesocolon

Abstract

A 43-year-old man visited a local doctor for headache in September 2006. The blood test showed CRP 2.1 mg/dl. He was given a blood test again in November, where the CRP was 2.0 mg/dl, and abdominal CT revealed a solid tumor of 40 mm in size, close to the greater curvature of the stomach. Soon after he visited our hospital, but there was no stomach tumor in the gastrofiberscopy or the upper gastrointestinal series. He was admitted with an abdominal tumor which we suspected originated in the greater omentum or stomach subserosa, and scheduled an operation in December.
We performed a transverse colectomy because his tumor originated from the transverse mesocolon. The pathological diagnosis was plasma cell type of Castleman's disease.