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Multimodality Diagnosis of Mesenteric Ischemia
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Mesenteric Fibromatosis.

V Radhakrishna1, R S Patil2

  • 1Department Paediatric Surgery, Indira Gandhi Institute of Child Health, Bengaluru, India.

Kathmandu University Medical Journal (KUMJ)
|December 24, 2018
PubMed
Summary
This summary is machine-generated.

Mesenteric fibromatosis is a rare benign tumor that can invade organs. This case highlights primary mesenteric fibromatosis in a young female, successfully treated with surgical excision.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Pathology

Background:

  • Mesenteric fibromatosis is a rare, locally invasive benign tumor originating from mesenteric fibroblasts.
  • While often associated with Gardner's Syndrome or estrogen intake, it can occur primarily.
  • Its infiltrative growth poses a risk of fatal visceral involvement.

Observation:

  • A 19-year-old female presented with abdominal mass and pain.
  • Initial diagnosis suggested a subserous fibroid.
  • Further evaluation revealed primary mesenteric fibromatosis.

Findings:

  • The patient underwent wide surgical excision of the mesenteric fibromatosis.
  • Adjacent bowel resection was performed concurrently.
  • Post-operative follow-up showed no evidence of tumor recurrence.

Implications:

  • This case underscores the importance of considering primary mesenteric fibromatosis in young females with abdominal masses.
  • Wide surgical excision is an effective treatment modality.
  • Complete resection can lead to favorable long-term outcomes without recurrence.