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Desmoid tumor of the abdominal wall: a case report
Athanasios Economou1, Xanthi Pitta, Efstathios Andreadis
1Department of Radiology, General Hospital "Agios Pavlos," Ethn, Antistaseos 161, 55134 Thessaloniki, Greece. xanthipitta@yahoo.gr.
Introduction:
Desmoid tumors are rare lesions without any metastatic potential but a strong tendency to invade locally and to recur. These tumors are associated with women of fertile age, especially during and after pregnancy.
Case Presentation:
The case of a desmoid tumor of the anterior abdominal wall in a 40-year-old Caucasian man with no relevant family history is presented, describing its appearance on computed tomography and ultrasonography. The patient, who presented with a painless mass in the left anterolateral abdomen, had a history of previous urgent abdominal surgery after a shotgun injury two years earlier. Radical resection of the affected abdominal wall musculature was performed, and the defect was reconstructed with polypropylene mesh.
Conclusion:
The diagnosis of desmoid tumor should be strongly considered even in male patients with an abdominal mass and a history of previous abdominal surgery. The goal of its treatment is complete tumor excision and avoidance of the development of complications such as hernia.