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[Mesenteric fibromatosis with hydronephrosis: a case report]
T Yoshida1, T Ogawa, T Fujinaga
1Department of Urology, Wakayama Rosai Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|March 1, 1994
Summary
A rare case of mesenteric fibromatosis presented as an intrapelvic tumor causing ureteral obstruction. Surgical excision and nephroureterectomy were successful, with no recurrence observed one year post-operation.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Urology
Background:
- Mesenteric fibromatosis, a rare benign neoplastic proliferation of fibrous tissue, can present as intra-abdominal masses.
- Intrapelvic masses can cause significant complications, including ureteral obstruction and gastrointestinal issues.
Observation:
- A 41-year-old male presented with epigastralgia and was found to have a 5x3 cm right intrapelvic solid tumor.
- Radiography revealed the tumor caused stenosis of the right ureter at the pelvic brim.
- The tumor invaded the ileum and right ureter.
Findings:
- Surgical excision of the mesenteric fibromatosis was performed, involving resection of the invaded ileum segment and a nephroureterectomy.
- Histological examination confirmed the diagnosis of mesenteric fibromatosis.
- Postoperative barium enema showed no colonic polyposis.
Implications:
- This case highlights the importance of considering rare diagnoses like mesenteric fibromatosis in patients with unexplained abdominal masses and obstructive symptoms.
- Complete surgical resection is crucial for managing mesenteric fibromatosis and preventing recurrence.
- Multidisciplinary management involving surgical oncology and urology is essential for optimal patient outcomes.