Saudi Journal of Gastroenterology
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IMAGE QUIZ  
Year : 2011  |  Volume : 17  |  Issue : 4  |  Page : 293-294
A rare retroperitoneal tumor


Department of General Surgery, Second Propedeutic Surgical Department, Faculty of Medicine, University of Athens, Greece

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Date of Web Publication30-Jul-2011
 

How to cite this article:
Voutsarakis A, Kykalos S, Patsouras D, Mantas D. A rare retroperitoneal tumor. Saudi J Gastroenterol 2011;17:293-4

How to cite this URL:
Voutsarakis A, Kykalos S, Patsouras D, Mantas D. A rare retroperitoneal tumor. Saudi J Gastroenterol [serial online] 2011 [cited 2019 Dec 15];17:293-4. Available from: http://www.saudijgastro.com/text.asp?2011/17/4/293/82589


A 68 year old man was hospitalized for pulmonary embolism. A month ago, he had a myocardial infarction and 10 days ago he was treated surgically by triple coronary artery bypass grafting. His personal medical and surgical history includes hypertension, appendectomy for appendicitis 50 years ago and exploratory laparotomy for obstructive ileus due to adhesions 5 years ago. He has no family history for malignancy. Abdominal CT and MRI performed for causative evaluation of the pulmonary embolism, revealed a 5 cm large solid mass of the mesenteric root with clear smooth margins and inhomogeneous density. The mesenteric vessels were not infiltrated. The patient did not mention any gastroenterologic disorders (vomiting, blood loss and defacation problems) and had no abnormal signs on physical examination. The performed coloscopy was negative. The surgical specimen was a solid, hard, well defined retroperitoneal tumor lying in front of the superior mesenteric artery and the left renal vein [Figure 1] and [Figure 2].
Figure 1: Retroperitoneal lesion in MRI

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Figure 2: The same lesion in CT

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   Questions Top


Q1. What is the most likely diagnosis?

Q2. Which are the manifestation forms of these entities?

Q3. Which are the main symptoms?

Q4. What is the treatment and prognosis?



Click here to view answer. View Answer


 
   References Top

1.McCormack D, Kesha K, Tittle SL, Saldinger PF. Mesenteric fibromatosis mimicking a gastrointestinal stromal tumor. Conn Med 2010;74:197-200.  Back to cited text no. 1
[PUBMED]    
2.Holubar S, Dwivedi AJ, O'Connor J. Giant mesenteric fibromatosis presenting as small bowel obstruction. Am Surg 2006;72:427-9.  Back to cited text no. 2
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Correspondence Address:
Dimitris Mantas
Department of General Surgery, Laiko General Hospital, Second Propedeutic Surgical Department, Ag. Thoma 17, St. Goudi 11527, Athens
Greece
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.82589

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    Figures

  [Figure 1], [Figure 2]

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