A Case Report of Isolated Mesenteric Fibromatosis Originating from the Mesentery of the Jejunum

Hiroshi Banno, Hitoshi Kubota, Toshio Uematsu, Yutaka Kuroyanagi, Hideaki Suzuki, Kazuo Ishikawa and Hiroshi Narita

Department of Surgery, Handa City Hospital

A 58-year-old woman reporting an abdominal mass was found to have a mass 4 cm in diameter in the middle of the abdomen. We diagnosed the tumor as originating in the mesentery. Laparotomy revealed an ovoid tumor 4.5×4.5×4.5cm solid in the cut surfece in the mesentery of the jejunum. Histologically, it was diagnosed as mesenteric fibromatosis. The woman is alive without recurrence 13 months after resection. Mesenteric fibromatosis is very rare in patients without familial polyposis of the colon (FPC) or those not undergoing previous abdominal surgery. To our knowledge, only 25 cases, including ours, have been reported in the Japanese literature. We discuss isolated mesenteric fibromatosis originating in the mesentery of the jejunum and review the literature.

Key words
mesenteric fibromatosis, desmoid tumor

Reprint requests
Hiroshi Banno Department of Surgery, Sakashita Hospital 722-1 Sakashita, Sakashita-cho, Ena-gun, Gifu, 509-9293 JAPAN

Accepted
November 27, 2001

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