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. 2012 Mar 27;4(3):79-82.
doi: 10.4240/wjgs.v4.i3.79.

Giant mesenteric fibromatosis: Report of a case and review of the literature

Mohammed Khalid Mirza Gari  1 , Salman Yousuf Guraya, Amir Mounir Hussein, Moustafa Mahmoud Nafady Hego
Affiliations

Giant mesenteric fibromatosis: Report of a case and review of the literature

Mohammed Khalid Mirza Gari et al. World J Gastrointest Surg. .

Abstract

Mesenteric fibromatosis poses a diagnostic and therapeutic challenge. This paper presents a 35-year-old female complaining of vague abdominal pain of 2 mo duration. Her computed tomography scan and magnetic resonance imaging revealed a pelvi-abdominal heterogenous mass with significant displacement of the small bowel and urinary bladder. She underwent surgical excision of the mass with resection and anastomosis of the involved loop of the small intestine. Histological examination confirmed mesenteric fibromatosis without infiltration of the bowel. The patient remained well during the 6 mo follow-up.

Keywords: Desmoid tumors; Mesenteric fibromatosis; Radiotherapy.

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Figures

Figure 1
Figure 1
Contrast enhanced computed tomography scan showing a huge inhomogenous mass occupying almost whole of the abdomen and pelvis with displacement of urinary bladder and bowel loops. A: sagittal; B: axial sections.
Figure 2
Figure 2
Magnetic resonance imaging abdomen and pelvis. T2 weighted image (sagittal section) showing a huge intraperitoneal well defined mass displacing the liver and bowels cranially and bladder caudally with heterogenous bright and and low signals.
Figure 3
Figure 3
Resected specimen alongwith attached segment of the bowel.
Figure 4
Figure 4
Stellate and spindle cells arranged in a storiform pattern.
See this image and copyright information in PMC

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