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Mesenteric fibromatosis preventing restorative proctectomy
1Aberdeen Royal Infirmary, Scotland.
The Australian and New Zealand Journal of Surgery
|March 1, 1992
Summary
This case report highlights the surgical challenge of mesenteric fibromatosis, a rare condition, discovered during restorative proctectomy for familial adenomatous polyposis.
Area of Science:
- Gastroenterology and Surgical Oncology
Background:
- Familial adenomatous polyposis (FAP) is an inherited cancer predisposition syndrome.
- Restorative proctectomy is a surgical option for FAP patients.
- Mesenteric fibromatosis is a rare, benign neoplastic proliferation of fibrous tissue.
Observation:
- A patient undergoing restorative proctectomy for FAP presented an unexpected intraoperative finding.
- The finding was identified as mesenteric fibromatosis, a desmoid tumor in the mesentery.
Findings:
- The presence of mesenteric fibromatosis poses a significant surgical dilemma during restorative proctectomy.
- Complete resection of mesenteric fibromatosis can be challenging due to its infiltrative nature and proximity to vital structures.
Implications:
- This case underscores the importance of preoperative imaging and awareness of rare intra-abdominal pathologies in FAP patients.
- Management strategies for mesenteric fibromatosis during FAP surgery require careful consideration to balance oncologic and functional outcomes.
- Further research is needed to establish optimal surgical approaches for co-existing mesenteric fibromatosis and FAP.