Case Report


A case report of fibromatosis resulting in small bowel obstruction

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1 MD, General Surgery, Central Michigan University College of Medicine, Saginaw, Michigan, United States

2 Central Michigan University College of Medicine, Saginaw, Michigan, United States

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Danielle Humphries

MD, 6826 S Lamplighter Dr., Saginaw, MI 48603,

USA

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Article ID: 101462Z01DH2024

doi: 10.5348/101462Z01DH2024CR

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How to cite this article

Humphries D, Fritzke T, Pacheco F, Sripathi S, Marcano D, Alashari A. A case report of fibromatosis resulting in small bowel obstruction. Int J Case Rep Images 2024;15(2):15–18.

ABSTRACT


Introduction: Fibromatosis, also known as desmoid tumors, is a benign tumor that is found in patients with a history of familial adenomatous polyposis (FAP) syndrome. Although, sporadic fibromatosis is more common than this classic association.

Case Report: This case report describes a 75-year-old woman who was healthy and had no history of familial adenomatous polyposis (FAP). She presented with acute abdominal pain caused by a small bowel obstruction. Computed tomography (CT) imaging demonstrated a solid mass measuring 5 × 5 cm in the left mid-abdomen or the pelvis causing a proximal small bowel obstruction. The patient then underwent an exploratory laparotomy, during which a 45-cm segment of the jejunum, along with associated mesentery and lymph nodes, was resected due to a large mass and extensive adhesions. A primary small bowel anastomosis was performed subsequently. Macroscopic and microscopic pathology evaluations revealed a homogenous mass consistent with fibromatosis, indicating a benign tumor originating from the mesentery. This is an uncommon presentation of small bowel obstruction in an otherwise healthy female patient without a history of FAP.

Conclusion: As this case shows, spontaneous fibromatosis can present aggressively and require emergency surgical intervention.

Keywords: Bowel obstruction, Fibromatosis, Mesenteric tumor, Tumor

SUPPORTING INFORMATION


Author Contributions

Danielle Humphries - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Teo Fritzke - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Felipe Pacheco - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Shravani Sripathi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Daniela Marcano - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Akram Alashari - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2024 Danielle Humphries et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.