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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
PubMed
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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.

Related Experiment Videos

  • 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.