Department of Surgery, Izumi General Medical Center, Kagoshima, Japan
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
Anticancer Res. 2022 Jan;42(1):381-384. doi: 10.21873/anticanres.15496.
A desmoid tumor is a rare neoplasm that is derived from soft tissues. Although it shows benign characteristics pathologically, local recurrence can occur.
We herein report the case of a patient with an intraabdominal desmoid tumor that developed 3 years after laparoscopic appendectomy for acute appendicitis. A 59-year-old male visited our emergency room with complaints of abdominal pain and fullness. Abdominal computed tomography revealed distention of the small intestine with a point of obstruction by an intraabdominal tumor-like region. Pathological findings showed that the tumor was compatible with desmoid fibromatosis.
In cases with an intraabdominal tumor after laparoscopic surgery, it is important to consider the possibility of a desmoid tumor, since it is difficult to diagnose it accurately before surgery.
硬纤维瘤是一种罕见的源自软组织的肿瘤。虽然它在病理上表现出良性特征，但可能会出现局部复发。
我们在此报告一例腹腔镜阑尾切除术后 3 年发生的腹内硬纤维瘤病例。患者为 59 岁男性，因腹痛和腹胀就诊于我院急诊。腹部 CT 显示小肠扩张，存在一处由腹腔内肿瘤样区域引起的梗阻点。病理结果显示肿瘤符合硬纤维瘤病。
对于腹腔镜手术后出现的腹内肿瘤，应考虑硬纤维瘤的可能性，因为在手术前很难准确诊断。
