A Case of Intra-abdominal Desmoid Tumor Located in the Mesentery of the Transverse Colon

Naoki Watanabe, Hajime Nakai, Yojiro Orita, Izumi Harafuji, Jyunji Kasahara

Department of Surgery, Chugoku Chuoh Hospital

Recently we experienced a case of desmoid tumor which had grown in the mesentery of the transverse colon. The patient was 38 years old, and with the chief complaint of an intra abdominal mass. The solid tumor was recognized beside of the transverse colon by computed tomography and echo gram, and laparotomy was performed. The tumor was in the mesentery of the transverse colon, and invaded the ileo-colic artery, the right colic artery, and he right branch of the middle colic artery. Right hemicolectomy was performed, and the tumor was completely eliminated with those arteries. The tumor was histologically diagnosed intra-abdominal desmoid tumor. Intraabdominal desmoid tumor was known to be rare. We examined the clinical details of 31 cases which had been reported in Japan since 1970. There reported only 5 cases with intra-abdominal desmoid tumor which had no complication of Adenomatosis Coli nor laparotomy in ananmnesis. In this case tumor was considered to be derived from the mesentery of the transverse colon, whereas in other 4 cases, they were from the mesentery of small intestine. It appeared to be the first case in Japanese medical literature.

Key words
desmoid tumor, intra-abdominal tumor, laparotomy

Reprint requests
Naoki Watanabe Department of Surgery, Chugoku Chuoh Hospital
1-3-6 Nishifurumatsu-cho, Fukuyama-shi, 720 JAPAN

Accepted
January 12, 1994

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