Case Report
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World J Gastrointest Surg. Mar 27, 2012; 4(3): 79-82
Published online Mar 27, 2012. doi: 10.4240/wjgs.v4.i3.79
Giant mesenteric fibromatosis: Report of a case and review of the literature
Mohammed Khalid Mirza Gari, Salman Yousuf Guraya, Amir Mounir Hussein, Moustafa Mahmoud Nafady Hego
Mohammed Khalid Mirza Gari, Amir Mounir Hussein, Moustafa Mahmoud Nafady Hego, Department of Surgery, Imam Abdulrehman Bin Faisal Hospital, National Guard Health Affairs, Dammam 31412, Saudi Arabia
Salman Yousuf Guraya, Department of Surgery, Taibah Univesrity, Ministry of Higher Education, Al Madinah Al Munawwarah 41477, Saudi Arabia
Author contributions: All authors wrote this manuscript.
Correspondence to: Dr. Mohammed Khalid Mirza Gari, FRCS (Ireland), Consultant General, Laparoscopic and Bariatric Surgeon, Division Head, Department of Surgery, Imam Abdulrehman Bin Faisal Hospital, National Guard Health Affairs, Dammam 31412, Saudi Arabia. kgari_2000@yahoo.com
Telephone: +966-3-8581111-31344 Fax: +966-3-8581111-31394
Received: December 29, 2011
Revised: February 11, 2012
Accepted: February 20, 2011
Published online: March 27, 2012
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