Desmoid tumor of the rectus abdominis mimicking a rectus sheath hematoma
DOI:
https://doi.org/10.18203/2349-2902.isj20261186Keywords:
Desmoid tumor, Abdominal wall mass, Rectus abdominis, Fibromatosis, Case reportAbstract
Aggressive fibromatosis, a synonym for desmoid tumours, is a rare kind of fibroblastic growth. Any musculoaponeurotic structure in the body may develop these tumours. They are categorized as benign because of a number of unique characteristics, including regular mitotic activity and no potential for metastasis but local recurrence is not uncommon. Surgical excision is highly recommended, and computed tomography (CT) is a valuable imaging modality. This report describes the appearance of a desmoid tumor in the anterior abdominal wall of a female patient, age 28, who had three prior caesarean sections. The procedure involved removing the tumor and then using polypropylene mesh to rebuild the abdominal wall. The patient was discharged 3 days post-surgery with no adverse complications and a follow up was done 6 months.
Metrics
References
Kiel KD, Suit HD. Radiation therapy in the treatment of aggressive fibromatoses (desmoid tumors). Cancer. 1984;54:2051-5. DOI: https://doi.org/10.1002/1097-0142(19841115)54:10<2051::AID-CNCR2820541002>3.0.CO;2-2
Lewis JJ, Boland PJ, Leung DH, Woodruff JM, Brennan MF. The enigma of desmoid tumors. Ann Surg. 1999;229:866-72. DOI: https://doi.org/10.1097/00000658-199906000-00014
Merchant NB, Lewis JJ, Woodruff JM, Leung DH, Brennan MF. Extremity and trunk desmoid tumors: a multifactorial analysis of outcome. Cancer. 1999;86(10):2045-52. DOI: https://doi.org/10.1002/(SICI)1097-0142(19991115)86:10<2045::AID-CNCR23>3.0.CO;2-F
Lynch HT, Fitzgibbons R. Surgery, desmoid tumors, and familial adenomatous polyposis: case report and literature review. Am J Gastroenterol. 1996;91(12):2598-601.
De Cian F, Delay E, Rudigoz RC, Ranchère D, Rivoire M. Desmoid tumor arising in a cesarean section scar during pregnancy: monitoring and management. Gynecol Oncol. 1999;75(1):145-8. DOI: https://doi.org/10.1006/gyno.1999.5539
Latchford AR, Sturt NJ, Neale K, Rogers PA, Phillips RK. A 10-year review of surgery for desmoid disease associated with familial adenomatous polyposis. Br J Surg. 2006;93:1258-64. DOI: https://doi.org/10.1002/bjs.5425
Carneiro C, Hurtubis C, Singh M, Robinson W. Desmoid tumors of the right rectus abdominis muscle in postpartum women. Arch Gynecol Obstet. 2009;279:869-73. DOI: https://doi.org/10.1007/s00404-008-0830-1
Tran Phung Dung T, Tu Minh P, Nguyen Ngoc H. Desmoid Tumor of the Rectus Abdominis Muscle: A Case Report. Cureus. 2024;16(5):e61383. DOI: https://doi.org/10.7759/cureus.61383
Johner A, Tiwari P, Zetler P, Wiseman SM. Abdominal wall desmoid tumors associated with pregnancy: current concepts. Expert Rev Anticancer Ther. 2009;9(12):1675-82. DOI: https://doi.org/10.1586/era.09.98
Wu C, Amini-Nik S, Nadesan P, Stanford WL, Alman BA. Aggressive fibromatosis (desmoid tumor) is derived from mesenchymal progenitor cells. Cancer Res. 2010;70:7690-8. DOI: https://doi.org/10.1158/0008-5472.CAN-10-1656
Conomou A, Pitta X, Andreadis E, Papapavlou L, Chrissidis T. Desmoid tumor of the abdominal wall: a case report. J Med Case Rep. 2011;5:326. DOI: https://doi.org/10.1186/1752-1947-5-326
Braschi-Amirfarzan M, Keraliya AR, Krajewski KM, Schoepf UJ, Pereira GGA, Pickhardt PJ, et al. Role of imaging in management of desmoid-type fibromatosis: a primer for radiologists. Radiographics. 2016;36(3):767-82. DOI: https://doi.org/10.1148/rg.2016150153
Xhaja X, Church J. Small bowel obstruction in patients with familial adenomatous polyposis related desmoid disease. Colorectal Dis. 2013;15:1489-92. DOI: https://doi.org/10.1111/codi.12416
Walker EA, Petscavage JM, Logie CI, Montini KM, Murphey MD. Imaging features of superficial and deep fibromatoses in the adult population. Sarcoma. 2012;2012:215810. DOI: https://doi.org/10.1155/2012/215810
Casillas J, Sais GJ, Greve JL, Iparraguirre MC, Morillo G. Imaging of intra- and extraabdominal desmoid tumors. Radiographics. 1991;11:959-68. DOI: https://doi.org/10.1148/radiographics.11.6.1749859
Einstein DM, Tagliabue JR, Desai RK. Abdominal desmoids: CT findings in 25 patients. AJR Am J Roentgenol. 1991;157:275-9. DOI: https://doi.org/10.2214/ajr.157.2.1853806
Winant AJ, Vora A, Ginter PS, Levine MS, Brylka DA. More than just metastases: a practical approach to solid mesenteric masses. Abdom Imaging. 2014;39:605-21. DOI: https://doi.org/10.1007/s00261-014-0090-4
Dinauer PA, Brixey CJ, Moncur JT, Fanburg-Smith JC, Murphey MD. Pathologic and MR imaging features of benign fibrous soft-tissue tumors in adults. Radiographics. 2007;27:173-87. DOI: https://doi.org/10.1148/rg.271065065
Overhaus M, Decker P, Fischer HP. Desmoid tumors of the abdominal wall: a case report. World J Surg Oncol. 2003;1:11. DOI: https://doi.org/10.1186/1477-7819-1-11
Downloads
Published
How to Cite
Issue
Section
