Case report of an intra-abdominal desmoid tumour presenting with bowel perforation

Desmoid tumours are benign tumours originating from the musculo- aponeurotic structures of the body. They are mainly composed of collagen. These tumours commonly occur in post-partum women in whom they originate from the rectus abominus and in old surgical incisions. Here we present a case report of...

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Main Authors: Mushtaq Shah, Bushra Azam
Format: Article
Language:English
Published: McGill University 2020-12-01
Series:McGill Journal of Medicine
Subjects:
Online Access:https://mjm.mcgill.ca/article/view/742
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author Mushtaq Shah
Bushra Azam
author_facet Mushtaq Shah
Bushra Azam
author_sort Mushtaq Shah
collection DOAJ
description Desmoid tumours are benign tumours originating from the musculo- aponeurotic structures of the body. They are mainly composed of collagen. These tumours commonly occur in post-partum women in whom they originate from the rectus abominus and in old surgical incisions. Here we present a case report of a young gentleman who presented with an acute surgical abdomen and subsequently underwent a laparotomy and was found to have an inflammatory mass. Histological analysis of this mass revealed mesenteric fibromatosis (desmoid tumour). I wish to present this interesting case because the patient was neither female nor someone who had previously undergone any surgery. It is rare for mesenteric fibromatosis to present with intestinal perforation and only one case been reported in the literature thus far (1). An important learning point from this case is that rare pathology can manifest itself with common signs and symptoms.
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spelling doaj.art-3ae6b9b535d44e40982e5ef915ba0e352022-12-21T19:42:19ZengMcGill UniversityMcGill Journal of Medicine1715-81252020-12-0110210.26443/mjm.v10i2.742957Case report of an intra-abdominal desmoid tumour presenting with bowel perforationMushtaq ShahBushra AzamDesmoid tumours are benign tumours originating from the musculo- aponeurotic structures of the body. They are mainly composed of collagen. These tumours commonly occur in post-partum women in whom they originate from the rectus abominus and in old surgical incisions. Here we present a case report of a young gentleman who presented with an acute surgical abdomen and subsequently underwent a laparotomy and was found to have an inflammatory mass. Histological analysis of this mass revealed mesenteric fibromatosis (desmoid tumour). I wish to present this interesting case because the patient was neither female nor someone who had previously undergone any surgery. It is rare for mesenteric fibromatosis to present with intestinal perforation and only one case been reported in the literature thus far (1). An important learning point from this case is that rare pathology can manifest itself with common signs and symptoms.https://mjm.mcgill.ca/article/view/742desmoid tumourgeneral surgerybowel perforation
spellingShingle Mushtaq Shah
Bushra Azam
Case report of an intra-abdominal desmoid tumour presenting with bowel perforation
McGill Journal of Medicine
desmoid tumour
general surgery
bowel perforation
title Case report of an intra-abdominal desmoid tumour presenting with bowel perforation
title_full Case report of an intra-abdominal desmoid tumour presenting with bowel perforation
title_fullStr Case report of an intra-abdominal desmoid tumour presenting with bowel perforation
title_full_unstemmed Case report of an intra-abdominal desmoid tumour presenting with bowel perforation
title_short Case report of an intra-abdominal desmoid tumour presenting with bowel perforation
title_sort case report of an intra abdominal desmoid tumour presenting with bowel perforation
topic desmoid tumour
general surgery
bowel perforation
url https://mjm.mcgill.ca/article/view/742
work_keys_str_mv AT mushtaqshah casereportofanintraabdominaldesmoidtumourpresentingwithbowelperforation
AT bushraazam casereportofanintraabdominaldesmoidtumourpresentingwithbowelperforation