The Desmoid Tumor Research Foundation

January 2022

A Case of Mesenteric Desmoid Tumor Causing Bowel Obstruction After Laparoscopic Surgery

Author Information

Arima K (1, 2), Komohara Y (3), Uchihara T (4, 2), Yamashita K (4, 2), Uemura S (4), Hanada N (4), Baba H (2).

(1) Dept of Surgery, Izumi General Medical Center, Kagoshima, Japan ycomo@kumamoto-u.ac.jp kouarima-gi@umin.ac.jp. (2) Dept of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan. (3) Dept of Cell Pathology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan ycomo@kumamoto-u.ac.jp kouarima-gi@umin.ac.jp. (4) Dept of Surgery, Izumi General Medical Center, Kagoshima, Japan.

Publication

Anticancer Res

Summary

Background: A desmoid tumor is a rare neoplasm that is derived from soft tissues. Although it shows benign characteristics pathologically, local recurrence can occur. Case report: We herein report the case of a patient with an intraabdominal desmoid tumor that developed 3 years after laparoscopic appendectomy for acute appendicitis. A 59-year-old male visited our emergency room with complaints of abdominal pain and fullness. Abdominal computed tomography revealed distention of the small intestine with a point of obstruction by an intraabdominal tumor-like region. Pathological findings showed that the tumor was compatible with desmoid fibromatosis. Conclusion: In cases with an intraabdominal tumor after laparoscopic surgery, it is important to consider the possibility of a desmoid tumor, since it is difficult to diagnose it accurately before surgery.

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