The Desmoid Tumor Research Foundation

January 2019

A giant mesenteric fibromatosis involving the muscular layer of the colon wall: A case report

Author Information

Ji H(1), Zhu W(1), Zhao B(1), Shi J(1), Wei Q(1), Sun B(1), Chen Q(1)(2).

(1)Dept of Hepatobiliary Surgery, Clinical Nutrition Support Center, Binzhou Medical University Hospital. (2)Clinical Nutrition and Metabolism Key Laboratory of Shandong Province, Binzhou, Shandong, China.

Publication

Medicine (Baltimore)

Summary

We report a case of giant Mesenteric fibromatosis (MF) in abdominal cavity with abdominal distention as the main symptom. A 26-year-old male presented with 2-month history of abdominal distention, lack of appetite, and symptoms grew progressively more debilitating with time. This patient underwent a contrast-enhanced computed tomography scan which showed a giant (37?×?25?×?13?cm), inhomogeneous enhancing, well-defined, and soft tissue density mass in abdominal cavity, possibly arising in mesocolon, which suggested a high possibility of MF. Exploratory laparotomy was performed, which revealed a large mass involving the transverse colon wall, the root of mesocolon, and encasing the middle colic vessels and the 1st branch of jejunal arteries. The complete surgical resection was performed and the mass weighted 10 kilograms (kg). The patient recovered uneventfully and was discharged 9 days after surgery. Three-month, 6-month, 12-month and 18-month on follow-up after surgery, showed no evidence of recurrence. We consider that surgical resection with negative margins is the goal but not at the expense of damaging the function of vital organs.

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