Simultaneous Colonic Obstruction and Hydroureteronephrosis due to Mesenteric Fibromatosis.
- Author:
Sung Hoon JUNG
1
;
Chang Nyol PAIK
;
Ji Han JUNG
;
Kang Moon LEE
;
Woo Chul CHUNG
;
Jin Mo YANG
Author Information
1. Department of Internal Medicine College Medicine, The Catholic University of Korea, Seoul, Korea. cmcu@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Mesenteric fibromatosis;
Colonic obstruction;
Hydroureteronephrosis
- MeSH:
beta Catenin;
Colon;
Colon, Sigmoid;
Fibroma;
Fibrosarcoma;
Gastrointestinal Stromal Tumors;
Gastrointestinal Tract;
Humans;
Panniculitis, Peritoneal;
Positron-Emission Tomography;
Ureter
- From:Gut and Liver
2009;3(3):215-217
- CountryRepublic of Korea
- Language:English
-
Abstract:
Mesenteric fibromatosis (MF) is a rare benign mesenchymal lesion that can occur throughout the gastrointestinal tract, especially small bowel. Its biological behavior is intermediate between benign fibrous tissue proliferation and malignant fibrosarcoma. In previously reported cases of MF, we could find colonic obstruction or ureter obstruction, but simultaneous involvement of colon and ureter was not able to be seen. We described a patient that presented with colonic obstruction and hydroureteronephrosis due to MF at sigmoid colon which mimicked submucosal tumor such as gastrointestinal tumor. This case resulted in a positive positron emission tomography scan suggesting malignant neoplasm, but beta-catenin positivity on immunohistochemical staining separated MF from gastrointestinal stromal tumor and sclerosing mesenteritis. The clinical course of the patient was improved after surgical resection.
