Case Report
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
Address correspondence to:
Danielle Humphries
MD, 6826 S Lamplighter Dr., Saginaw, MI 48603,
USA
Message to Corresponding Author
Article ID: 101462Z01DH2024
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
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 SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
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