Transverse colonic volvulus due to mesenteric fibromatosis: a case report.
Desmoid tumor
Mesenteric fibromatosis
Right hemicolectomy
Transverse colonic volvulus
Journal
BMC gastroenterology
ISSN: 1471-230X
Titre abrégé: BMC Gastroenterol
Pays: England
ID NLM: 100968547
Informations de publication
Date de publication:
06 Jan 2021
06 Jan 2021
Historique:
received:
03
09
2020
accepted:
21
12
2020
entrez:
7
1
2021
pubmed:
8
1
2021
medline:
15
5
2021
Statut:
epublish
Résumé
Colonic volvulus, a condition in which a colonic segment partially twists around its base, is the third leading cause of large bowel obstruction after colonic neoplasms and diverticular disease. However, volvulus of the transverse colon is the rarest type of large intestinal volvulus. Moreover, the occurrence of transverse colonic volvulus secondary to a benign tumor originating from outside the intestine has never been reported. We hereby report a case of transverse colonic volvulus caused by mesenteric fibromatosis. A 53-year-old female with a history of rheumatoid arthritis and thyroid tumor presented with abdominal pain for 1 day. Abdominal computed tomography revealed intestinal torsion at the hepatic flexure. Twisted and obstructed mucosa of the transverse colon was observed during colonoscopy, but no tumor invasion of the mucosal surface was detected. A solid mass of a mesenteric origin with involvement of the transverse colon was observed during surgery. The mass was diagnosed surgically as transverse colonic volvulus induced by a mesenteric tumor. Hence, the patient underwent a right hemicolectomy. Histopathological results indicated mesenteric desmoid-type fibromatosis. The postoperative recovery was uneventful, and the patient was discharged 8 days after surgery. Although mesenteric fibromatosis is rare, this disease should be considered when managing transverse colonic volvulus resulting from nonmucosal tumors.
Sections du résumé
BACKGROUND
BACKGROUND
Colonic volvulus, a condition in which a colonic segment partially twists around its base, is the third leading cause of large bowel obstruction after colonic neoplasms and diverticular disease. However, volvulus of the transverse colon is the rarest type of large intestinal volvulus. Moreover, the occurrence of transverse colonic volvulus secondary to a benign tumor originating from outside the intestine has never been reported. We hereby report a case of transverse colonic volvulus caused by mesenteric fibromatosis.
CASE PRESENTATION
METHODS
A 53-year-old female with a history of rheumatoid arthritis and thyroid tumor presented with abdominal pain for 1 day. Abdominal computed tomography revealed intestinal torsion at the hepatic flexure. Twisted and obstructed mucosa of the transverse colon was observed during colonoscopy, but no tumor invasion of the mucosal surface was detected. A solid mass of a mesenteric origin with involvement of the transverse colon was observed during surgery. The mass was diagnosed surgically as transverse colonic volvulus induced by a mesenteric tumor. Hence, the patient underwent a right hemicolectomy. Histopathological results indicated mesenteric desmoid-type fibromatosis. The postoperative recovery was uneventful, and the patient was discharged 8 days after surgery.
CONCLUSIONS
CONCLUSIONS
Although mesenteric fibromatosis is rare, this disease should be considered when managing transverse colonic volvulus resulting from nonmucosal tumors.
Identifiants
pubmed: 33407154
doi: 10.1186/s12876-020-01592-6
pii: 10.1186/s12876-020-01592-6
pmc: PMC7788689
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
11Références
J Comput Assist Tomogr. 2018 Sep/Oct;42(5):688-696
pubmed: 29958199
Rev Esp Enferm Dig. 2010 Apr;102(4):239-48
pubmed: 20486746
Eur Rev Med Pharmacol Sci. 2005 Jul-Aug;9(4):223-5
pubmed: 16128042
Gastroenterol Hepatol (N Y). 2010 Oct;6(10):662-5
pubmed: 21103447
AJR Am J Roentgenol. 2006 Jan;186(1):247-54
pubmed: 16357411
Int J Surg Case Rep. 2020;75:297-301
pubmed: 32979829
Surg Oncol. 2007 Aug;16(2):131-42
pubmed: 17719772
JRSM Open. 2018 May 04;9(5):2054270418763340
pubmed: 29760935
Am Surg. 2006 May;72(5):427-9
pubmed: 16719198
Oncol Ther. 2016;4(1):57-72
pubmed: 28261640
J Surg Case Rep. 2018 Nov 13;2018(11):rjy295
pubmed: 30443313
Clinics (Sao Paulo). 2010;65(1):110-3
pubmed: 20126354
Int J Colorectal Dis. 2014 Dec;29(12):1445-51
pubmed: 25139370
Gastroenterol Hepatol. 2013 Nov;36(9):580-6
pubmed: 23541808
Indian J Surg Oncol. 2014 Sep;5(3):242-5
pubmed: 25419076
J Chin Med Assoc. 2010 Jul;73(7):393-5
pubmed: 20688307
Dermatol Online J. 2016 Dec 15;22(12):
pubmed: 28329546
Radiographics. 2016 May-Jun;36(3):767-82
pubmed: 27163593
World J Surg Oncol. 2014 Apr 22;12:103
pubmed: 24755337
J Visc Surg. 2016 Jun;153(3):183-92
pubmed: 27132752
Am J Surg Pathol. 1990 Apr;14(4):335-41
pubmed: 2321698