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03:33
Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein
Published on: September 27, 2024
A 30 year old female with lower abdominal lump
T Ahmed1, M M Hussain, S U Ahmed
1Upazila Health Complex, Tongibari, Munsiganj, Bangladesh.
Mymensingh Medical Journal : MMJ
|January 18, 2011
Summary
A 30-year-old female presented with a year-long abdominal mass and pain. Surgical removal confirmed fibromatosis, a benign neoplastic condition of fibroblasts.
Area of Science:
- Oncology
- Surgical Pathology
Background:
- A 30-year-old female presented with a year-long history of a lower abdominal mass and associated pain.
- Initial examination revealed a significant intra-abdominal mass, measuring approximately 10cm x 12cm.
Observation:
- Computed Tomography (CT) of the abdomen identified a solid mass measuring (12 × 9 × 8.5) cm in the left abdominal cavity, extending into the pelvic cavity.
- Fine Needle Aspiration Cytology (FNAC) indicated sheets of mesothelial cells and clusters of epithelial-like cells.
- Laparotomy confirmed a well-encapsulated solid mass (10 × 8cm) adherent to the omentum, with enlarged mesenteric lymph nodes.
Findings:
- Histopathological analysis revealed a neoplasm composed of plump fibroblasts arranged in fascicles, infiltrating adjacent tissue, consistent with fibromatosis.
- The surgical excision was successful with adequate hemostasis and an uneventful postoperative recovery.
Implications:
- This case highlights fibromatosis as a rare cause of abdominal masses in young adults.
- Accurate histopathological diagnosis is crucial for appropriate management and differentiating from other neoplastic conditions.
- Surgical intervention remains a primary treatment modality for symptomatic fibromatosis.
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