Prague Med. Rep. 2026, 127, 215-218
Median Diaphragmatic Cyst Radiologically Consistent with a Mesothelial Cyst in a Young Adult: A Case Report
, Manuela Montatore1, Federica Masino1, Rossella Gifuni1, Alessio Sciacqua1, Pierluigi De Chirico2, Marina Balbino1, Giuseppe Guglielmi1,2
1Department of Clinical and Experimental Medicine, School of Medicine, University of Foggia, Foggia, Italy
2Radiology Unit, “Dimiccoli” Hospital, Barletta, Italy
Received September 27, 2025
Accepted September 8, 2026
Diaphragmatic mesothelial cysts are rare, benign congenital lesions of the diaphragm, presumed to originate from coelomic remnants. Typically identified in pediatric populations, adult presentations – though uncommon – can pose diagnostic challenges due to vague or non-specific symptoms. We present the case of a 30-year-old African male with no prior imaging history, experiencing persistent epigastric pain exacerbated by deep inspiration. An inconclusive ultrasound was followed by a contrast-enhanced computed tomography scan, revealing a midline cystic lesion located adjacent to the posterior diaphragmatic pillar. This case highlights the importance of considering diaphragmatic mesothelial cysts in the differential diagnosis of chronic abdominal pain and details the characteristic imaging findings.
Keywords
Diaphragmatic cyst, Mesothelial cyst, CT, Diagnostic imaging, Abdominal pain, Diaphragm.
References
Copyright
This is an open-access article distributed under the terms of the Creative Commons Attribution License.
