An unexpected intrabdominal discovery: a mesenteric desmoid tumor with small bowel obstruction. Case report and literature review

Submitted: May 12, 2023
Accepted: July 19, 2023
Published: July 19, 2023
Abstract Views: 178
PDF: 67
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Authors

  • Giuseppa Procida giusiprocida1@gmail.com Unit of General and Emergency Surgery, Azienda ULSS 2 “Trevigiana”, Hospital of Vittorio Veneto (TV), Italy.
  • Giulia Montori Unit of General and Emergency Surgery, Azienda ULSS 2 “Trevigiana”, Hospital of Vittorio Veneto (TV), Italy.
  • Andrea Dal Borgo Unit of General and Emergency Surgery, Azienda ULSS 2 “Trevigiana”, Hospital of Vittorio Veneto (TV), Italy.
  • Edelweiss Licitra Unit of General and Emergency Surgery, Azienda ULSS 2 “Trevigiana”, Hospital of Vittorio Veneto (TV), Italy.
  • Giorgio Mazzarolo Unit of General and Emergency Surgery, Azienda ULSS 2 “Trevigiana”, Hospital of Vittorio Veneto (TV), Italy.
  • Tobia Gobbi Unit of General and Emergency Surgery, Azienda ULSS 2 “Trevigiana”, Hospital of Vittorio Veneto (TV), Italy.
  • Federica Salemi Unit of General and Emergency Surgery, Azienda ULSS 2 “Trevigiana”, Hospital of Vittorio Veneto (TV), Italy.
  • Ferdinando Agresta Unit of General and Emergency Surgery, Azienda ULSS 2 “Trevigiana”, Hospital of Vittorio Veneto (TV), Italy.

This case report describes a 54-year-old man who presented with abdominal discomfort, nausea, early satiety, and constipation. A CT scan revealed a large mass infiltrating the mesentery and close to bowel loops, raising suspicion of intestinal sub-occlusion. Urgent surgery was performed, resulting in a segmental jejunum resection to remove the identified mesenteric mass. Histological examination revealed a diagnosis of desmoid fibromatosis which is a rare type of soft tissue tumor with borderline malignancy that can cause bowel obstruction when it develops intra-abdominally. It is often associated with genetic predispositions and risk factors such as previous surgery and pregnancy. The case highlights the importance of considering a patient's surgical history when encountering desmoid fibromatosis to determine the most appropriate treatment approach.

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Citations

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How to Cite

Procida, G., Montori, G., Dal Borgo, A., Licitra, E., Mazzarolo, G., Gobbi, T., Salemi, F., & Agresta, F. (2023). An unexpected intrabdominal discovery: a mesenteric desmoid tumor with small bowel obstruction. Case report and literature review. Case Reports in Emergency Surgery and Trauma, 1(1). https://doi.org/10.4081/crest.2023.13