Yoshida A(1,2), Uchima Y(3), Hosaka N(4), Minaga K(2), Kudo M(2).
(1)Dept of Gastroenterology, Fuchu Hospital, Izumi, Japan. (2)Dept of Gastroenterology and Hepatology, Kindai Univ Faculty of Medicine, Osaka, Japan. (3)Dept of Surgery, Fuchu Hospital, Izumi, Japan. (4)Dept of Pathology, Fuchu Hospital, Izumi, Japan.
Publication
BMC Gastroenterol
Summary
We hereby report a case of transverse colonic volvulus caused by mesenteric fibromatosis. A 53-year-old female with a history of rheumatoid arthritis and thyroid tumor presented with abdominal pain for 1 day. Abdominal computed tomography revealed intestinal torsion at the hepatic flexure. Twisted and obstructed mucosa of the transverse colon was observed during colonoscopy, but no tumor invasion of the mucosal surface was detected. A solid mass of a mesenteric origin with involvement of the transverse colon was observed during surgery. The mass was diagnosed surgically as transverse colonic volvulus induced by a mesenteric tumor. Hence, the patient underwent a right hemicolectomy. Histopathological results indicated mesenteric desmoid-type fibromatosis. The postoperative recovery was uneventful, and the patient was discharged 8 days after surgery. Although mesenteric fibromatosis is rare, this disease should be considered when managing transverse colonic volvulus resulting from nonmucosal tumors.
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