Mohammed Khalid Mirza Gari
Imam Abdulrehman Bin Faisal Hospital, Saudi Arabia
Title: Giant mesenteric fibromatosis: Report of a case and review of the literature
Biography
Biography: Mohammed Khalid Mirza Gari
Abstract
Mesenteric fibromatosis poses a diagnostic and therapeutic challenge. This paper presents a 35-year-old female complaining of vague abdominal pain of 2 months duration. Her computed tomography scan and magnetic resonance imaging revealed a pelvic-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 months follow-up. Fibromatosis are a rare heterogenous group of conditions which includes mesenteric fibromatosis. Mesenteric fibromatosis are benign proliferation of mesenteric fibrous tissue that tends to recur without distant metastasis. These are locally aggressive tumors of the mesentery with a high propensity for bowel involvement. Data concerning these tumors as a distinct pathological entity are lacking. The real etiology of mesenteric fibromatosis is unknown. Most reported cases have been in association with Gardner’s syndrome, previous trauma and prolonged intake of estrogen, but mesenteric fibromatosis can occur as a primary condition in the absence of any predisposing condition. The tumor presents either due to its mass effect or due to obstruction of the surrounding structures, including ureters and small bowel. The present report outlines a case of mesenteric fibromatosis presenting with generalized and vague abdominal pain which was managed in the
Department of Surgery in Imam Abdelrehman Bin Faisal Hospital, Dammam, Kingdom of Saudi Arabia.