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A Case of Mesenteric Desmoid Tumor Causing Bowel Obstruction After Laparoscopic Surgery
Kota Arima1,2, Yoshihiro Komohara3, Tomoyuki Uchihara4,2
1Department of Surgery, Izumi General Medical Center, Kagoshima, Japan ycomo@kumamoto-u.ac.jp kouarima-gi@umin.ac.jp.
Background:
A desmoid tumor is a rare neoplasm that is derived from soft tissues. Although it shows benign characteristics pathologically, local recurrence can occur.
Case Report:
We herein report the case of a patient with an intraabdominal desmoid tumor that developed 3 years after laparoscopic appendectomy for acute appendicitis. A 59-year-old male visited our emergency room with complaints of abdominal pain and fullness. Abdominal computed tomography revealed distention of the small intestine with a point of obstruction by an intraabdominal tumor-like region. Pathological findings showed that the tumor was compatible with desmoid fibromatosis.
Conclusion:
In cases with an intraabdominal tumor after laparoscopic surgery, it is important to consider the possibility of a desmoid tumor, since it is difficult to diagnose it accurately before surgery.
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