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[Isolated mesenteric fibromatosis]
J J Carvajal Balaguera1, S Mallagray Casas, A Dancausa Monje
1Hospital Central de Cruz Roja Española, Servicio de Cirugía General y del Aparato Digestivo, Universidad Complutense de Madrid.
Revista Espanola De Enfermedades Digestivas
|February 1, 1992
Summary
A rare case of isolated mesenteric fibromatosis, a non-cancerous tumor, was found incidentally in a male patient during an appendectomy. Surgical removal led to a complete recovery with no signs of recurrence after thirteen months.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Imaging
Background:
- Mesenteric fibromatosis, also known as desmoid tumors, are rare neoplastic proliferations of fibroblasts.
- While often associated with familial adenomatous polyposis, isolated mesenteric fibromatosis can occur sporadically.
- Diagnosis typically relies on imaging and histopathological examination.
Observation:
- A forty-one-year-old male presented for an unrelated appendectomy.
- An asymptomatic mesenteric tumor was incidentally discovered in the small bowel (jejunum) during surgery.
- No other associated diseases or symptoms were noted pre-operatively.
Findings:
- Surgical excision of the isolated mesenteric fibromatosis was successfully performed.
- Post-operative follow-up at thirteen months showed no evidence of tumor recurrence.
- Histopathological analysis confirmed the diagnosis of mesenteric fibromatosis.
Implications:
- This case highlights the importance of recognizing asymptomatic mesenteric fibromatosis during abdominal surgeries.
- Complete surgical resection appears to be an effective treatment for isolated mesenteric fibromatosis.
- Further research may elucidate optimal surveillance strategies for patients with this rare condition.