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

Med Pharm Rep. 2021 Apr;94(2):256-259. doi: 10.15386/mpr-1620. Epub 2021 Apr 29.

Abstract

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.

Keywords: desmoid tumors; jejunal mesentery; postpartum; surgical resection.

Publication types

  • Case Reports