Siahetiong Samantha Jiselle Go, Onglao Mark Augustine S, Manlubatan Sofia Isabel Tamesa, Lopez Marc Paul Jose
Department of Surgery, University of the Philippines, Philippine General Hospital, Manila, Philippines
Department of Surgery, University of the Philippines, Philippine General Hospital, Manila, Philippines.
BMJ Case Rep. 2025 Jan 19;18(1):e259200. doi: 10.1136/bcr-2023-259200.
We present the case of a man in his 60s with hypertension, who had a 3-year history of an irreducible mass in the left inguinal area. The patient presented at the emergency room with left lower quadrant pain and scrotal pain. The clinical examination was not suggestive of an acute abdomen. A CT scan was done showing an anterior abdominal wall defect at the left inguinal region. The patient underwent exploratory laparotomy, ileal resection and anastomosis, mesh hernioplasty left for the mesenteric fibromatosis mass mimicking as an irreducible inguinal hernia. Histopathology and immunohistochemistry showed desmoid-type fibromatosis.
