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The Desmoid Tumor Research Foundation

April 2021

Desmoid tumor of the mesentery. Case report of a rare non-metastatic neoplasm

Author Information

Pop M (1), Bartos D (1,2), Anton O (3), Rusu I (4), Ciobanu L (5), Breazu C (6,7), Iancu I (1,2), Iancu C (2,8), Bartos A (2,8)

(1)Dept of Anatomy and Embryology, Iuliu Hatieganu Univ of Medicine and Pharmacy, Cluj-Napoca, Romania. (2)Dept of Surgery, Regional Institute of Gastroenterology and Hepatology, Cluj-Napoca, Romania. (3)Dept of Radiology, Regional Institute of Gastroenterology and Hepatology, Cluj-Napoca, Romania. (4)Dept of Anatomical Pathology, Regional Institute of Gastroenterology and Hepatology, Cluj-Napoca, Romania. (5)Dept of Gastroenterology, Regional Institute of Gastroenterology and Hepatology, Cluj-Napoca, Romania. (6)Dept of Anesthesiology and Intensive Care, Regional Institute of Gastroenterology and Hepatology, Cluj-Napoca, Romania. (7)Dept of Anesthesia, Iuliu Hatieganu Univ of Medicine and Pharmacy, Cluj-Napoca, Romania. (8)Dept of Surgery, Iuliu Hatieganu Univ of Medicine and Pharmacy, Cluj-Napoca, Romania.

Publication

Med Pharm Rep

Summary

Desmoid tumors (DT) are rare non-metastatic neoplasms that occur through myofibroblast proliferation in musculoaponeurotic or fascial structures of the body, being commonly diagnosed in young women during pregnancy or in the post-partum period. We present the case of a 38-year-old woman, who recently gave birth, manifesting non-specific abdominal symptoms. Computed tomography indicated the presence of a solitary tumor arising from the intestinal wall or from the mesentery. Surgery confirmed the diagnosis, revealing a tumor that was localized at the level of the jejunal mesentery, having about 7 cm in diameter, in tight contact with the duodenum and the mesenteric vessels. "En bloc" resection of the tumor was performed, together with the involved enteral loops followed by end-to-end anastomosis of the jejunum. Histopathological examination of the surgical specimen sustained the diagnosis of desmoid tumor.

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