metricas
covid
Buscar en
Cirugía Española (English Edition)
Toda la web
Inicio Cirugía Española (English Edition) Rare presentation of a large desmoid tumor after surgery for Meckel’s divertic...
Información de la revista
Vol. 102. Núm. 1.
Páginas 53 (enero 2024)
Vol. 102. Núm. 1.
Páginas 53 (enero 2024)
Image of the month
Acceso a texto completo
Rare presentation of a large desmoid tumor after surgery for Meckel’s diverticulum
Presentación infrecuente de gran tumor desmoide ileal tras intervención por divertículo de Meckel
Visitas
67
Olatz Ocerin Alganzaa,
Autor para correspondencia
, Christian Pérez Gonzáleza,b, María Nagore Arana de la Torrea,b, José María García Gonzáleza,b
a Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Cruces, Instituto de Investigación Sanitaria BioCruces, Barakaldo, Bizkaia, Spain
b Unidad de Cirugía Colorrectal, Hospital Universitario Cruces, Barakaldo, Bizkaia, Spain
Este artículo ha recibido
Información del artículo
Texto completo
Descargar PDF
Estadísticas
Figuras (2)
Texto completo

The patient is a 54-year-old male with no personal history of interest and only one previous surgery for ileal resection and mechanical anastomosis 3 years earlier due to a complicated Meckel’s diverticulum. Presently, he came to the Emergency Department with abdominal discomfort and distension over the past 3 months. Physical examination detected a mass in the right flank, and CT revealed a large exophytic mass measuring about 18 × 15 cm originating at the terminal ileum (Fig. 1). We conducted en bloc excision of the tumor as well as 30 cm of the terminal ileum that were encompassed by it (Fig. 2), followed by appendectomy and ileocolic anastomosis. The pathology report described a 17-cm desmoid fibromatosis with free resection margins and beta-catenin positivity.

Fig. 1
(0.12MB).
Fig. 2
(0.28MB).

Although the etiology is unknown, up to 30% of abdominal desmoid tumors are associated with a history of trauma injury or surgery due to impaired healing or fibroproliferative disorders of the mesenchymal tissue. Therein lies the importance of diagnostic suspicion. Furthermore, despite being mostly asymptomatic, it is important to rule out Familial Adenomatous Polyposis as a concomitant pathology, which is present in 5%–15% of cases.

Copyright © 2023. AEC
Descargar PDF
Opciones de artículo
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos