Mesenteric fibromatosis: a little known and rare aggressive benign tumor

Mesenteric fibromatosis or desmoid tumor, is a rare benign tumor originating from fibrous tissue proliferation, commonly affecting young adults. Clinical presentations vary widely, often manifesting with abdominal symptoms. Here, we describe a 34-year-old man presenting with peritonism symptoms, inc...

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Main Authors: Zakaria, Mohd Hazeman, Mohd Rahim, Nur Syafiqah
Format: Conference or Workshop Item
Language:English
Published: Malaysian Congress of Radiology 2024 2024
Online Access:http://psasir.upm.edu.my/id/eprint/121228/
http://psasir.upm.edu.my/id/eprint/121228/1/121228.pdf
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author Zakaria, Mohd Hazeman
Mohd Rahim, Nur Syafiqah
author_facet Zakaria, Mohd Hazeman
Mohd Rahim, Nur Syafiqah
author_sort Zakaria, Mohd Hazeman
building UPM Institutional Repository
collection Online Access
description Mesenteric fibromatosis or desmoid tumor, is a rare benign tumor originating from fibrous tissue proliferation, commonly affecting young adults. Clinical presentations vary widely, often manifesting with abdominal symptoms. Here, we describe a 34-year-old man presenting with peritonism symptoms, incidentally, discovered to have a mesenteric mass on contrasted CT Abdomen. Surgical exploration unveiled extensive involvement, posing a risk of bowel ischemia, prompting biopsy for confirmation. Subsequent CT scans revealed postoperative complications, including a necrotic ruptured mass and intraabdominal collections, managed with drainage and antibiotics. Despite risks, surgical resection remained the primary treatment, albeit with potential complications due to the mass's proximity to the Superior Mesenteric Artery. Radiotherapy or chemotherapy were not suitable due to slow tumor growth. While mesenteric angiography with angioembolization was offered as an alternative, the patient opted for surveillance through repeated imaging. This case highlights the diverse clinical features, its potential complications and available management options.
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institution Universiti Putra Malaysia
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language English
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spelling upm-1212282025-10-29T06:48:21Z http://psasir.upm.edu.my/id/eprint/121228/ Mesenteric fibromatosis: a little known and rare aggressive benign tumor Zakaria, Mohd Hazeman Mohd Rahim, Nur Syafiqah Mesenteric fibromatosis or desmoid tumor, is a rare benign tumor originating from fibrous tissue proliferation, commonly affecting young adults. Clinical presentations vary widely, often manifesting with abdominal symptoms. Here, we describe a 34-year-old man presenting with peritonism symptoms, incidentally, discovered to have a mesenteric mass on contrasted CT Abdomen. Surgical exploration unveiled extensive involvement, posing a risk of bowel ischemia, prompting biopsy for confirmation. Subsequent CT scans revealed postoperative complications, including a necrotic ruptured mass and intraabdominal collections, managed with drainage and antibiotics. Despite risks, surgical resection remained the primary treatment, albeit with potential complications due to the mass's proximity to the Superior Mesenteric Artery. Radiotherapy or chemotherapy were not suitable due to slow tumor growth. While mesenteric angiography with angioembolization was offered as an alternative, the patient opted for surveillance through repeated imaging. This case highlights the diverse clinical features, its potential complications and available management options. Malaysian Congress of Radiology 2024 2024 Conference or Workshop Item NonPeerReviewed text en http://psasir.upm.edu.my/id/eprint/121228/1/121228.pdf Zakaria, Mohd Hazeman and Mohd Rahim, Nur Syafiqah (2024) Mesenteric fibromatosis: a little known and rare aggressive benign tumor. In: Malaysian Congress of Radiology 2024, 26-28 Jul. 2024, Kuala Lumpur, Malaysia. .
spellingShingle Zakaria, Mohd Hazeman
Mohd Rahim, Nur Syafiqah
Mesenteric fibromatosis: a little known and rare aggressive benign tumor
title Mesenteric fibromatosis: a little known and rare aggressive benign tumor
title_full Mesenteric fibromatosis: a little known and rare aggressive benign tumor
title_fullStr Mesenteric fibromatosis: a little known and rare aggressive benign tumor
title_full_unstemmed Mesenteric fibromatosis: a little known and rare aggressive benign tumor
title_short Mesenteric fibromatosis: a little known and rare aggressive benign tumor
title_sort mesenteric fibromatosis: a little known and rare aggressive benign tumor
url http://psasir.upm.edu.my/id/eprint/121228/
http://psasir.upm.edu.my/id/eprint/121228/1/121228.pdf