Giant anterior abdominal wall desmoid tumor successfully managed with abdominal wall reconstruction

S Dhivakar; Farhanul Huda; Sudhir K Singh; Arvind Kumar; Asish Das; Preeti Acharya

doi:10.4103/jfmpc.jfmpc_379_23

Giant anterior abdominal wall desmoid tumor successfully managed with abdominal wall reconstruction

J Family Med Prim Care. 2023 Aug;12(8):1716-1719. doi: 10.4103/jfmpc.jfmpc_379_23. Epub 2023 Aug 29.

Authors

S Dhivakar¹, Farhanul Huda¹, Sudhir K Singh¹, Arvind Kumar², Asish Das¹, Preeti Acharya¹

Affiliations

¹ Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
² Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Abstract

Anterior abdominal wall fibromatosis is a benign soft tissue tumor that is rare, but fast-growing with minimal chances of malignant change. We report a young female with a large abdominal swelling which on evaluation was provisionally diagnosed as anterior abdominal wall fibromatosis on imaging and confirmed by histopathology. She was successfully managed with resection of the tumor with a challenging abdominal wall reconstruction with bilateral inferiorly based external oblique muscle flap followed by a mesh repair. Though rare, these tumors are difficult to miss. The importance of this case report is that it describes the methods of multimodal management of a patient with surgery, reconstruction, and adjuvant therapy leading to better patient outcomes.

Keywords: Desmoid tumor; oncology; plastic surgery; reconstruction; soft tissue tumor.

Publication types

Case Reports