Sun L, Wu H, Zhuang YZ, Guan YS. A rare case of pregnancy complicated by mesenteric mass: What does chylous ascites tell us? World J Gastroenterol 2007; 13(10): 1632-1635 [PMID: 17461463 DOI: 10.3748/wjg.v13.i10.1632]
Corresponding Author of This Article
Yong-Song Guan, Department of Radiology and Oncology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China. yongsongguan@yahoo.com.cn
Article-Type of This Article
Case Report
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World J Gastroenterol. Mar 14, 2007; 13(10): 1632-1635 Published online Mar 14, 2007. doi: 10.3748/wjg.v13.i10.1632
A rare case of pregnancy complicated by mesenteric mass: What does chylous ascites tell us?
Long Sun, Hua Wu, Yan-Zhen Zhuang, Yong-Song Guan
Long Sun, Hua Wu, Department of Minnan PET Center, the First Hospital of Xiamen, Fujian Medical University, Xiamen 316003, Fujian Province, China
Yan-Zhen Zhuang, Department of Pathology, the First Hospital of Xiamen, Fujian Medical University, Xiamen 316003, Fujian Province, China
Yong-Song Guan, Department of Radiology and Oncology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Yong-Song Guan, Department of Radiology and Oncology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China. yongsongguan@yahoo.com.cn
Telephone: +86-28-85421008 Fax: +86-28-85538359
Received: January 4, 2007 Revised: January 25, 2007 Accepted: March 12, 2007 Published online: March 14, 2007
Abstract
Mesenteric fibromatosis is a rare benign nonmetastatic neoplasm that appears as a sporadic lesion or occurs in patients with familial polyposis, while chylous ascites associated with aggressive mesenteric fibromatosis during pregnancy has never been reported thus far. Here we present the case of a 28-year old pregnant woman, in whom an aggressive mesenteric fibromatosis with chylous ascites was detected, involving the jejunum, superior mesenteric artery (SMA) and superior mesenteric vein (SMV) and pancreas. One year after a successful surgical excision, the patient had no signs of recurrence. The authors report the case for its rarity and emphasize on combining clinicopathological, radiological and immunohistochemistry analysis for management of the disease.
