Rare presentation of Mesenteric Desmoids as Internal Herniation- Case report

Abstract

Desmoids tumors are cytologically bland fibrous neoplasms originating from the musculoaponeurotic structures throughout the body. Desmoid tumors often appear as infiltrative, usually well-differentiated, firm overgrowths of fibrous tissue, and they are locally aggressive. The synonym aggressive fibromatosis describes the marked cellularity and aggressive local behavior. This course and the tendency for recurrence make the treatment of these relatively rare fibrous tumors challenging. We present a case of mesenteric desmoid which presentated as internal herniation into the transverse mesocolon. Internal hernia itself is a rare entity and big desmoid tumors having such peculiar presentation are difficult to diagnose preoperatively and hence can pose a diagnostic challenge for the surgeon and the radiologist.