A Rare Case of Intraperitoneal Desmoplastic Fibroblastoma

Desmoplastic fibroblastoma is a benign soft tissue tumor of indolent nature. It is more prevalent in males in their fourth to sixth decades of life and typically presents in the upper extremities, feet, and back. Other, uncommon locations have been reported as well, including the oral cavity and retroperitoneum. Histological examination demonstrates bland spindle cells in a dense collagenous stroma. The tumor neither recurs nor metastasizes. In this report, we discuss a case of a female patient who presented with symptoms concerning for intra-abdominal sepsis and was subsequently diagnosed with an intraperitoneal desmoplastic fibroblastoma. There is no evidence that this condition has been previously reported in the literature in the English language. The lesion was excised during laparoscopy and the patient showed no evidence of recurrence on magnetic resonance elastography (MRE) imaging 12 months later.