Download PDF
CC BY 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2024; 07(01): 082-085
DOI: 10.1055/s-0043-1776012
Letter to the Editor

Sporadic Mesenteric Fibromatosis with Colonic Entrapment Mimicking Gastrointestinal Stromal Tumor—A Rare Entity: Two Case Reports

Thara Pratap
1   Department of Radiodiagnosis, VPS Lakeshore, Kochi, Kerala, India
,
Dhanya Shibi
2   Department of Radiology, VPS Lakeshore, Kochi, Kerala, India
,
Pushpa Mahadevan
3   Department of Pathology, VPS Lakeshore, Kochi, Kerala, India
,
Muhammed Jasim Abdul Jalal
4   Department of Internal Medicine and Rheumatology, Olive Healthcare, Thrissur, Kerala, India
,
Amritha Aravind
2   Department of Radiology, VPS Lakeshore, Kochi, Kerala, India
› Author Affiliations
› Further Information
   Permissions and Reprints

Mesenteric fibromatosis (MF), also known as desmoid tumors of the mesentery, is rare, locally aggressive fibroblastic proliferation of mesentery that tends to recur locally without distant metastasis. The clinical behavior of desmoids is unpredictable varying from indolent to aggressive. Radiologically, mesenteric fibromatosis could have infiltrative margin or well-defined, lobulated margin at presentation. The commonest site of mesenteric fibromatosis is small bowel mesentery.

Though the diagnosis of MF with infiltrative margins is rather easy, mesenteric fibromatosis with well-defined margins can be confused radiologically with gastrointestinal stromal tumor (GIST).[1] [2] Histopathology confirmation is essential for a definitive diagnosis.

We, herein, present two cases with well-defined margins mimicking GIST arising from small bowel mesentery with entrapped segment of colonic loop within the lesion.



Publication History

Article published online:
12 October 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Wronski M, Ziarkiewicz-Wroblewska B, Slodkowski M, Cebulski W, Gornicka B, Krasnodebski IW. Mesenteric fibromatosis with intestinal involvement mimicking a gastrointestinal stromal tumour. Radiol Oncol 2011; 45 (01) 59-63
    CrossrefPubMedGoogle Scholar
  • 2 Deshpande A, Tamhane A, Deshpande YS, Pagey R, Pangarkar M. Ball in the wall: mesenteric fibromatosis-a rare case report. Indian J Surg Oncol 2020; 11 (Suppl. 01) 73-77
    CrossrefPubMedGoogle Scholar
  • 3 Polat C, Aktepe F, Turel S, Yazicioglu B, Ozkececi T, Arikan Y. A giant mesenteric fibromatosis case presenting with mechanical intestinal obstruction and successfully resected with partial duodeno-jejunectomy and right hemicolectomy. Clinics (São Paulo) 2010; 65 (01) 110-113
    CrossrefPubMedGoogle Scholar
  • 4 Azizi L, Balu M, Belkacem A, Lewin M, Tubiana JM, Arrivé L. MRI features of mesenteric desmoid tumors in familial adenomatous polyposis. AJR Am J Roentgenol 2005; 184 (04) 1128-1135
    CrossrefPubMedGoogle Scholar
  • 5 Rosa F, Martinetti C, Piscopo F. et al. Multimodality imaging features of desmoid tumors: a head-to-toe spectrum. Insights Imaging 2020; 11 (01) 103
    CrossrefPubMedGoogle Scholar
  • 6 Kovačević K, Obad-Kovačević D, Popić-Ramač J. Sporadic giant intra-abdominal desmoid tumor: a radiological case report. Mol Clin Oncol 2017; 6 (06) 896-898
    CrossrefPubMedGoogle Scholar
  • 7 Gari MK, Guraya SY, Hussein AM, Hego MM. Giant mesenteric fibromatosis: report of a case and review of the literature. World J Gastrointest Surg 2012; 4 (03) 79-82
    CrossrefPubMedGoogle Scholar
  • 8 Burke AP, Sobin LH, Shekitka KM, Federspiel BH, Helwig EB. Intra-abdominal fibromatosis. A pathologic analysis of 130 tumors with comparison of clinical subgroups. Am J Surg Pathol 1990; 14 (04) 335-341
    CrossrefPubMedGoogle Scholar
  • 9 Brooks AP, Reznek RH, Nugent K, Farmer KC, Thomson JP, Phillips RK. CT appearances of desmoid tumours in familial adenomatous polyposis: further observations. Clin Radiol 1994; 49 (09) 601-607
    CrossrefPubMedGoogle Scholar
  • 10 Sheth S, Horton KM, Garland MR, Fishman EK. Mesenteric neoplasms: CT appearances of primary and secondary tumors and differential diagnosis. Radiographics 2003; 23 (02) 457-473 , quiz 535–536
    CrossrefPubMedGoogle Scholar
  • 11 Hajri M, Talbi G, Ferjaoui W. et al. Huge mesenteric desmoid-type fibromatosis with unusual presentation: a case report. Ann Med Surg (Lond) 2022; 78: 103741
    PubMedGoogle Scholar
  • 12 Braschi-Amirfarzan M, Keraliya AR, Krajewski KM. et al. Role of imaging in management of desmoid-type fibromatosis: a primer for radiologists. Radiographics 2016; 36 (03) 767-782
    CrossrefPubMedGoogle Scholar
  • 13 Otero S, Moskovic EC, Strauss DC. et al. Desmoid-type fibromatosis. Clin Radiol 2015; 70 (09) 1038-1045
    CrossrefPubMedGoogle Scholar
  • 14 Kuwabara H, Katayanagi S, Koganezawa I. et al. Sporadic intra-abdominal desmoid tumor with a very unusual onset: two case reports. J Med Case Rep 2021; 15 (01) 457
    CrossrefPubMedGoogle Scholar
  • 15 Tan CH, Pua U, Liau KH, Lee HY. Mesenteric desmoid tumour masquerading as a fat-containing cystic mass. Br J Radiol 2010; 83 (994) e200-e203
    CrossrefPubMedGoogle Scholar
  • 16 Griffiths R, Gardner JM. Desmoid-Type Fibromatosis. In: McManus LM, Mitchell RN. eds. Pathobiology of Human Disease [Internet]. San Diego: Academic Press; 2014: 1982-1994
    Google Scholar