Abstract
A 56-year-old male was scheduled to undergo elective surgery for a tumor of the small intestine in September 2004, but before surgery his white blood cell count and CRP level were elevated and he had abdominal tenderness. Thus emergency surgery was performed with a diagnosis of diffuse peritonitis caused by perforation of the tumor. The tumor was solid and 8 × 8 × 5 cm in size and was located in the mesentery proper. Resection of the mesenteric tumor, partial resection of the jejunum, intraperitoneal lavage, and drainage were performed. Mesenteric desmoid was diagnosed based on histopathological examinations. After discharge he had been observed as an outpatient until May 2006, 20 months after the surgery, when recurrence was discovered and re-resection was performed at our hospital. Massive resection of the small bowel over the two operations resulted in short-bowel syndrome, but it was controlled with oral medication and the patient's postoperative course was uneventful. He was discharged from the hospital 63 days after the second operation. During subsequent observation of the clinical course his underlying Parkinson's syndrome progressed, his general condition deteriorated due to short-bowel syndrome, and he died five months after the second operation.
