Inoperable aggressive mesenteric fibromatosis with ureteric fistula

Khanna, Paritosh C.; Lath, Chinar; Gadewar, Swapna B.; Agrawal, Dilpesh

doi:10.1016/j.ejrad.2005.12.036

Cited by 21 publications

(11 citation statements)

References 14 publications

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“…Histology revealed well-differentiated fibroblasts of uniform size with no evidence of mitotic activity, although there was infiltration of the surrounding tissue. Inflammatory infiltration was notably absent [3]. The pathologic confirmation of our case and the typical features of MF did not differ.…”

Section: Discussionsupporting

confidence: 59%

“…The deep variant can involve the abdominal wall, mesentery, retroperitoneum, mediastinum, or abdominal cavity. MF is an uncommon variant of deep fibromatosis and has only occasionally been reported [3]. Deep (or aggressive) fibromatosis is sometimes referred to as a desmoid tumor.…”

Section: Discussionmentioning

confidence: 99%

“…Radiologically, metastatic carcinoma, abdominal lymphoma, intestinal carcinoids, peritoneal neoplasms, postoperative adhesions and retractile mesenteritis form the differential diagnoses [3]. A combination of CT for primary diagnosis and image-guided biopsies and magnetic resonance imaging (MRI) for periodic follow-up would be recommended in such patients, as both modalities have a large field of view and multiplanar and vascular imaging capabilities.…”

Section: Discussionmentioning

confidence: 99%

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Mesenteric Fibromatosis Causing Ureteral Stenosis

et al. 2010

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Mesenteric fibromatosis is a rare benign disease characterized by proliferating fibrous tissue in the bowel mesentery. We report a case of aggressive mesenteric fibromatosis with ureteral stenosis arising in a 46-year-old woman who suffered from intermittent right abdominal pain. Computed tomography revealed a right retroperitoneal mass with right ureteral stenosis at the level of the right common iliac vessel. The mass was excised with resection of the affected segment of the ileum, ascending colon, and ureter, and end-to-end ureter anastomosis was performed. Pathological examination confirmed mesenteric fibromatosis.

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Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Mesenteric Fibromatosis Causing Ureteral Stenosis

et al. 2010

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“…1,2 Due to their infiltrative nature, they can cause bowel obstruction, bowel ischemia, urinary tract obstruction, and occasionally abscess or fistula formation. 1,[7][8][9] Reports of ureteral fistulization are rare with 2 prior cases demonstrating fistula formation by delayed-phase CT. 8,9 …”

mentioning

confidence: 95%

Renographic Demonstration of Desmoid Tumor-Ureteral Fistula

Kim

McQuinn²,

Lin³

et al. 2016

Clinical Nuclear Medicine

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A 20-year-old woman with Gardner syndrome and intra-abdominal desmoid tumors presented with increasing abdominal pain. CT demonstrated a new area of central hypodensity in a presumed desmoid tumor, compressing the left ureter. Findings were suspicious for abscess or fistula to the ureter. Subsequent 99mTc-MAG3 renogram demonstrated persistent extraureteral radiotracer activity in the region of the tumor, confirming a desmoid tumor-ureteral fistula. Desmoid tumors are benign but locally aggressive fibrous neoplasms that can be sporadic or associated with familial adenomatous polyposis syndromes, specifically Gardner syndrome. Fistula formation to the ureter has been reported infrequently.

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“…Most of the patients are clinically asymptomatic and the symptoms are associated with progressive invasion of contiguous structures and organ compression [4,5]. …”

Section: Discussionmentioning

confidence: 99%

A Giant Mesenteric Desmoid Tumor Revealed by Acute Pulmonary Embolism due to Compression of the Inferior Vena Cava

2014

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Patient: Male, 69Final Diagnosis: Mesenteric desmoid tumorSymptoms: —Medication: —Clinical Procedure: —Specialty: SurgeryObjective:Rare diseaseBackground:Intra-abdominal fibromatosis is a benign rare tumor of fibrous origin with a significant potential for local invasion and no ability to metastasize, but it can recur. The etiology of desmoid tumors is unknown. It is often associated with conditions such as familial adenomatous polyposis and Gardner syndrome.Case Report:We report the case of a 69-year-old man who presented to our hospital with an acute pulmonary embolism. The patient had a past history of colic surgery for a polyp with a high-grade dysplasia. Pulmonary angiography showed partial occlusion of the right superior lobe artery and partial occlusion of the middle lobe artery. The patient was given thrombolytic therapy. Abdominal computerized tomography revealed a mesenterial giant mass with compression of the inferior vena cava (IVC). A biopsy of the mass, confirming aggressive fibromatosis. A laparotomy was performed, which revealed a massive growth occupying the abdomen and attached to the previous ileocolic anastomosis. One day after surgery, his condition deteriorated.Conclusions:This report underlines the potential of imaging investigations of abdomen and vena cava if pulmonary embolism is suspected, especially when there is no evidence of peripheral venous thrombosis or other predisposing factors. Unfortunately, data on the surgical management of desmoid tumor is scarce. Therefore, the standard of treatment is a surgical resection for resectable tumors.

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Inoperable aggressive mesenteric fibromatosis with ureteric fistula

Cited by 21 publications

References 14 publications

Mesenteric Fibromatosis Causing Ureteral Stenosis

Mesenteric Fibromatosis Causing Ureteral Stenosis

Renographic Demonstration of Desmoid Tumor-Ureteral Fistula

A Giant Mesenteric Desmoid Tumor Revealed by Acute Pulmonary Embolism due to Compression of the Inferior Vena Cava

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