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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
GIANT MESENTERIC FIBROMATOSIS MASQUERADING UTERINE FIBROID
Author
Mohammed Imran Khaleel* and G. Raghavendra Prasad
Email
imkhmd@gmail.com
keyword
Mesenteric fibromatosis, GIST, CD 117 and CD 34.
Abstract
Objective to report a case of Giant mesenteric fibromatosis presenting as a giant intra-abdominal tumour mistaken for uterine fibroid. Fibromatosis is a rare fibrous tumour arising from soft tissues in the body. Involvement of mesentery is rare. When presenting as a mass abdomen is usually mistaken for GIST. Attaining a massive size is still rarer in mesenteric fibromatosis. It is confirmed by excluding GIST by immunohistochemistry and typical histological features. A 24yrs lady presented with predominantly asymptomatic mass abdomen of the size of 30 weeks pregnant uterus. UPT was negative. MRI showed a mixed tumour with vague interface with uterus. Ovaries were normal. Exploration revealed a giant soild tumour arising from ileal mesentery and loop was stretched. Enmasseresection with the involved ileal segment was done. The histopathology showed a fibrous tumour with no atypia. There were areas of perivascular hemorrhages. IHC for CD 117 and CD 34 were negative. Mesenteric fibromatosis presented as a huge asymptomatic mass abdomen. Fibrous hitology, with perivascular haemorrhages and negative CD 34 and CD 117 clinched diagnosis mesenteric fibromatosis. A rare case of mesenteric fibromatosis mistaken for uterine fibroid is being reported.
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