Abstract
A 52-year-old woman was admitted to a hospital because of intermittent abdominal pain and was administered medication due to suspected ileus. Two weeks later, she visited our hospital complaining of a sense of fullness and abdominal pain with mild tenderness. Abdominal computed tomography revealed slight ascites and a boundary of small intestine with dilated and non-dilated areas in the right lower quadrant. We performed emergency surgery with a diagnosis of a strangulated ileus. A 2-cm white mass on the mesentery of the small intestine 40 cm from the terminal ileum was revealed. The mass wrote up a serosa of the small intestine and formed a strangulation point. Partial resection of the ileum was performed. Because of the possibility of malignant disease dissemination, we searched the entire intraperitoneal space, but no malignant findings were noted. The patient was discharged from our hospital 10 days postoperatively. We herein reported a rare case of a 2-cm diameter mesenteric fibromatosis without familial adenomatous polyposis or laparotomy history.
