Desmoid tumor of rectus abdominis

Case contributed by Dr Mostafa El-Feky

Presentation

Painful anterior abdominal wall swelling

Patient Data

Age: 30 years
Gender: Female

CT abdomen and pelvis with contrast

CT

A well-defined midline anterior abdominal wall soft tissue lesion is noted at lower abdomen infra-umbilical region. It is averaging 6.2x4.8x7.3 cm in dimensions. It shows homogeneous attenuation with mild postcontrast enhancement. Clear surrounding fat planes.

Case Discussion

This case represents a pathologically proven desmoid tumor (full report is not available). Desmoid tumor is the commonest neoplasms of the abdominal wall. It is more common in females in the age period between 20 and 40 years. Usually, it shows homogeneous texture, well-defined border and mild postcontrast enhancement.

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