Mesenteric desmoid tumor

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Abdominal pain with a palpable mass.

Patient Data

Age: 30 years
Gender: Male
ct

Large well-marginated heterogeneously enhancing abdominopelvic mass of mesenteric location, encasing the distal branches of the superior mesenteric artery and displacing the adjacent digestive structures (small and large bowels). Mild effusion in the pelvic region.

Chest CT (not shown) was normal.

No distant metastases.

Case Discussion

CT features of a large well-marginated mesenteric mass in a young patient with no distant metastases.

The patient went on to have an ultrasound-guided biopsy that confirms the diagnosis of a mesenteric desmoid tumor. There were no association with familial adenomatous polyposis in this case.

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