A case of recurrence after operation for mesenteric fibroma

We encountered a case of recurrence after operation for mesenteric fibroma in a 30-year-old woman. After giving birth to the second child 2 years before, she had undergone extirpation of a tumor and extensive resection of the small intestine for mesenteric fibroma of the small intestine.Two years later the patient noticed a tumor in the lower right region of the abdomen, was diagnosed as having postoperative recurrence, and reoperated on.The tumor arised in the mesentery of the small intestine and infiltrated into the right ureter and most part of the small intestine. After extirpation of the tumor and subtotal resection of the small intestine, the case presented with shortened small intestine syndrome with the residual small intestine of 20 cm. One year later the patient died of deteriorated general condition after repeated admissions.The common factors inducing fibroma included trauma from surgery and effect of pregnancy. In this case the relationship between fibroma and these factors is also suggested. So far as reports on mesenteric fibroma in Japan are concerned, no mention is made of recurrence probably because of insufficient follow-up investigation.This is considered a case of early recurrence developed 11 months after surgery.