Coexistence of duodenum derived aggressive fibromatosis and paraduodenal
Intra-abdominal aggressive fibromatosis is a locally aggressive tumor mostly originating from the mesentery or retroperitoneal space, infiltrating adjacent tissues, and very rarely metastasizing to distant organs. There are only two case reports in the English language literature where intra-abdomin...
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ftinonuuniv:oai:abakus.inonu.edu.tr:11616/24530 2023-05-15T18:12:08+02:00 Coexistence of duodenum derived aggressive fibromatosis and paraduodenal hydatid cyst: A case report and review of literature Akbulut, S Yilmaz, M Alan, S Kolu, M Karadag, N 2018 http://hdl.handle.net/11616/24530 unknown http://hdl.handle.net/11616/24530 WORLD JOURNAL OF GASTROINTESTINAL SURGERY 2018 ftinonuuniv 2022-03-28T19:48:37Z Intra-abdominal aggressive fibromatosis is a locally aggressive tumor mostly originating from the mesentery or retroperitoneal space, infiltrating adjacent tissues, and very rarely metastasizing to distant organs. There are only two case reports in the English language literature where intra-abdominal aggressive fibromatosis originated from the intestinal wall. In this study, we aimed to report a case of aggressive fibromatosis originating from the muscularis propria layer of the duodenum and invading pancreas. Another interesting aspect of this case is that a primary paraduodenal hydatid cyst was incidentally detected in the surgical specimen. A 46-year-old female patient presented to our clinic with postprandial nausea and vomiting. A contrast-enhanced abdominal computerized tomography revealed a mass lesion with a size of 100 mm x 80 mm which originated from the distal pancreas and compressed the gastric pilor externally. Upon exploration the distal part of duodenum, proximal jejunum, and pancreatic mass were noted to form a conglomerated structure. Therefore, the fourth part of the duodenum, a 25 cm part of the proximal jejunum, distal pancreas, and the spleen were excised en-bloc. The pathology report of the specimen indicated fibromatosis with a diameter of 55 mm that originated from the muscularis propria of the duodenum and extended into the pancreatic parenchyma. There was also an incidentally detected 10 mm paraduodenal hydatid cyst. No tumor recurrence was detected at a follow-up period of 24 mo. In conclusion, the most ideal treatment of desmoid-type fibromatosis is surgical resection of the mass lesion with clean surgical borders. Although rare, this tumor may originate from the intestinal wall. Histopathological verification is of great significance for a proper diagnosis. C1 [Akbulut, Sami; Yilmaz, Mehmet] Inonu Univ, Dept Surg, Fac Med, TR-244280 Malatya, Turkey. [Akbulut, Sami] Inonu Univ, Liver Transplant Inst, Fac Med, TR-244280 Malatya, Turkey. [Alan, Saadet; Karadag, Nese] Inonu Univ, Dept Pathol, Fac Med, TR-244280 Malatya, Turkey. [Kolu, Mehmet] Inonu Univ, Dept Radiol, Fac Med, TR-244280 Malatya, Turkey. Other/Unknown Material sami Unknown Nese ENVELOPE(9.827,9.827,63.611,63.611) |
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Intra-abdominal aggressive fibromatosis is a locally aggressive tumor mostly originating from the mesentery or retroperitoneal space, infiltrating adjacent tissues, and very rarely metastasizing to distant organs. There are only two case reports in the English language literature where intra-abdominal aggressive fibromatosis originated from the intestinal wall. In this study, we aimed to report a case of aggressive fibromatosis originating from the muscularis propria layer of the duodenum and invading pancreas. Another interesting aspect of this case is that a primary paraduodenal hydatid cyst was incidentally detected in the surgical specimen. A 46-year-old female patient presented to our clinic with postprandial nausea and vomiting. A contrast-enhanced abdominal computerized tomography revealed a mass lesion with a size of 100 mm x 80 mm which originated from the distal pancreas and compressed the gastric pilor externally. Upon exploration the distal part of duodenum, proximal jejunum, and pancreatic mass were noted to form a conglomerated structure. Therefore, the fourth part of the duodenum, a 25 cm part of the proximal jejunum, distal pancreas, and the spleen were excised en-bloc. The pathology report of the specimen indicated fibromatosis with a diameter of 55 mm that originated from the muscularis propria of the duodenum and extended into the pancreatic parenchyma. There was also an incidentally detected 10 mm paraduodenal hydatid cyst. No tumor recurrence was detected at a follow-up period of 24 mo. In conclusion, the most ideal treatment of desmoid-type fibromatosis is surgical resection of the mass lesion with clean surgical borders. Although rare, this tumor may originate from the intestinal wall. Histopathological verification is of great significance for a proper diagnosis. C1 [Akbulut, Sami; Yilmaz, Mehmet] Inonu Univ, Dept Surg, Fac Med, TR-244280 Malatya, Turkey. [Akbulut, Sami] Inonu Univ, Liver Transplant Inst, Fac Med, TR-244280 Malatya, Turkey. [Alan, Saadet; Karadag, Nese] Inonu Univ, Dept Pathol, Fac Med, TR-244280 Malatya, Turkey. [Kolu, Mehmet] Inonu Univ, Dept Radiol, Fac Med, TR-244280 Malatya, Turkey. |
author |
Akbulut, S Yilmaz, M Alan, S Kolu, M Karadag, N |
spellingShingle |
Akbulut, S Yilmaz, M Alan, S Kolu, M Karadag, N Coexistence of duodenum derived aggressive fibromatosis and paraduodenal |
author_facet |
Akbulut, S Yilmaz, M Alan, S Kolu, M Karadag, N |
author_sort |
Akbulut, S |
title |
Coexistence of duodenum derived aggressive fibromatosis and paraduodenal |
title_short |
Coexistence of duodenum derived aggressive fibromatosis and paraduodenal |
title_full |
Coexistence of duodenum derived aggressive fibromatosis and paraduodenal |
title_fullStr |
Coexistence of duodenum derived aggressive fibromatosis and paraduodenal |
title_full_unstemmed |
Coexistence of duodenum derived aggressive fibromatosis and paraduodenal |
title_sort |
coexistence of duodenum derived aggressive fibromatosis and paraduodenal |
publishDate |
2018 |
url |
http://hdl.handle.net/11616/24530 |
long_lat |
ENVELOPE(9.827,9.827,63.611,63.611) |
geographic |
Nese |
geographic_facet |
Nese |
genre |
sami |
genre_facet |
sami |
op_source |
WORLD JOURNAL OF GASTROINTESTINAL SURGERY |
op_relation |
http://hdl.handle.net/11616/24530 |
_version_ |
1766184705029308416 |