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Mesenteric fibromatosis

H Sarihan1, M Abes, K Yildiz

  • 1Department of Pediatric Surgery, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|June 9, 1998
PubMed
Summary
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This report details two rare cases of mesenteric fibromatosis, a challenging abdominal tumor. Surgical intervention led to successful outcomes with no recurrence in either patient during follow-up.

Area of Science:

  • Gastroenterology and Surgical Oncology

Background:

  • Mesenteric fibromatosis is a rare, locally aggressive tumor arising from the mesentery.
  • It presents diagnostic and therapeutic challenges due to its infiltrative nature and rarity.

Observation:

  • Case 1: A right upper quadrant mass with abdominal pain, originating from the colon mesentery and infiltrating adjacent organs.
  • Case 2: Severe gastrointestinal bleeding (hematemesis, melena) from an unidentified tumor infiltrating the stomach, duodenum, and liver.

Findings:

  • Both patients underwent extensive surgical resections including colectomy, cholecystectomy, subtotal gastrectomy, and liver lobectomy.
  • Successful management involved complex surgical procedures tailored to tumor extent.
  • No recurrence was observed during 16 and 13 months of follow-up, respectively.

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Implications:

  • Highlights the importance of surgical expertise in managing rare mesenteric fibromatosis.
  • Emphasizes the need for a multidisciplinary approach for diagnosis and treatment planning.
  • Contributes to understanding the clinical presentation and surgical outcomes of this rare entity.