Mesenteric desmoid tumor
Citation, DOI, disclosures and case data
At the time the case was submitted for publication Jeremy Jones had no recorded disclosures.
View Jeremy Jones's current disclosuresPresentation
Generalized abdominal pain and a left sided mass.
Patient Data
Large left-sided abdominal mass with soft-tissue attenuation.
4 case questions available
Q: Where is the mass located? show answer
A: It's located within the left side of the small bowel mesentry
Q: What is the differential diagnosis for a mesenteric mass? show answer
A: Benign mesenteric masses include lymphangiomas and mesentric cysts, but neither fits the imaging characteristics. Lipoblastoma is a benign fatty mass that occurs in children and clearly isn't the cause here. Primary mesenchymal or stromal tumours of the mesentry resemble either retroperitoneal sarcomas (most commonly leiomyosarcoma) or GIST. Other masses include mesenteric desmoid, lipodystrophy (retractile mesenterisitis and mesenteric paniculitis), and lymphadenopathy.
Q: Of the differential offered, what is the most likely diagnosis? show answer
A: Mesenteric desmoid, also called mesenteric fibromatosis, is most likely.
Q: Given the likely diagnosis, what associations should be considered? show answer
A: Mesenteric desmoid is associated with familial adenomatous polyposis.
Case Discussion
Mesenteric desmoid tumors are bland fibrous tumors that have an association with familial adenomatous polyposis. In this case, there was no such association with confirmation of histology at percutaneous ultrasound-guided biopsy.
References
- Al jadaan SA, Al rabeeah A. Mesenteric fibromatosis: case report and literature review. J. Pediatr. Surg. 1999;34 (7): 1130-2. J. Pediatr. Surg. (link) - Pubmed citation
- Bethune R, Amin A. Mesenteric fibromatosis: a rare cause of acute abdominal pain. Ann R Coll Surg Engl. 2006;88 (2): 1-2. doi:10.1308/147870806X95212 - Free text at pubmed - Pubmed citation
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- GIT viva by Eman Mansour
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- abdomen by shlomi Gavrielli
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- Mesenteric small bowel by Allister Howie
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- GIT by Mohammed Ahmed Fahmy
- Gastrointestinal radiology by Ranjit kumar
- Mesenteric desmoid tumour by Mohammed alhammadi
- Abdo 7 - Peritoneum/Retroperitoneum/Mesentry by Siobhan Lee
- . by Richard Pow
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