A Case of Intra-abdominal Desmoid in the Mesocolon Transversum

Makoto Murakami, Hiroyuki Maeda, Yasuo Hirono, Takanori Goi, Atsushi Iida, Toshihisa Kimura, Kazuo Takeuchi, Kanji Katayama, Kazuo Hirose and Akio Yamaguchi

The First Department of Surgery, School of Medicine Fukui Medical University

We report a sporadic intraabdominal desmoid tumor of the mesocolon transversum. A 52-year old woman had undergone surgery for myoma uteri at the age of 42. In September 2001, she went to a clinic for right lower abdominal pain and underwent abdominal computed tomography (CT). She was admitted for an intraabdominal tumor. Abdominal CT showed the 5 by 4 cm tumor was invasive close to the transverse colon. Barium enema, magnetic resonance imaging (MRI), and angiography suggested a mesenteric tumor or Schloffer's tumor, necessitating surgery. The tumor was in the mesocolon transversum with severe inflammation and invasion into ascending and transverse colon, so we conducted right hemicolectomy and lymph node dissection. Histopathological examination showed a mesenteric desmoid tumor, reported as an intraabdominal desmoid tumor.

Key words
intraabdominal desmoid tumor, mesenteric tumor, mesocolon

Reprint requests
Murakami Makoto The First Department of Surgery, School of Medicine, Fukui Medical University 23-3 Shimoaiduki, Matsuoka-cho, Yoshida-gun, Fukui, 910-1193 JAPAN

Accepted
December 18, 2002

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