%0 Case Reports
%T Huge mesenteric fibromatosis presenting with intestinal perforation and acute diffuse peritonitis: a case report.
%A Xu Y
%A Duan Z
%A Hu W
%A Zhu K
%A You J
%A Abe M
%A Chen P
%A Zhang Q
%A Zong L
%A Xu Y
%A Duan Z
%A Hu W
%A Zhu K
%A You J
%A Abe M
%A Chen P
%A Zhang Q
%A Zong L
%J Transl Cancer Res
%V 9
%N 9
%D Sep 2020
%M 35117931
%F 0.496
%R 10.21037/tcr-19-1151
%X Mesenteric fibromatosis is a locally invasive myofibroblastic proliferation and rarely metastasize to other organs. Hollow organ perforation and acute diffuse peritonitis caused by mesenteric fibromatosis rarely occurred. Here we report a case of huge mesenteric fibromatosis who complained a paroxysmal epigastric pain, and CT scan showed a huge mass, pneumoperitoneum and ascites. An urgent laparotomy showed an intro-abdominal mass and perforation locating at the jejunum. Postoperative histology confirmed it to be mesenteric fibromatosis. With one-year follow-up, the patient had no recurrence. We wish to share our treating experience of this interesting case because it did not belong to a typical type but presenting with acute diffuse peritonitis, and total resection and R0 margin is a key to treat acute case. This atypical one has not been reported in the literature till now.