Mesenteric desmoid tumor in a pregnant woman with familial adenomatous polyposis after colectomy: a case report

Abstract

Presented is a case of mesenteric desmoid tumor detected in the third trimester of pregnancy. A 29-year-old female patient had undergone a total colectomy with ileoanal anasotomosis because of familial adenomatous polyposis two years and ten months ago. The patient reported right flank pain at 32 weeks of gestation. On admission, the ultrasound scan revealed a large solid mass, which was poorly demarcated and located in the right upper quadrant of the abdomen. As an exploratory laparotomy revealed a desmoid tumor arising from jejunal mesenterium, resection of the tumor and cesarean section were performed. The relationship of desmoid tumors to pregnancy is discussed, and the literature is reviewed. [Adv Obstet Gynecol 48 (6); 623-627, 1996 (H8.11)]