Coexistence of mesenteric fibromatosis and Crohn’s disease in a child –a novel case.
Pomeranian journal of life sciences(2016)
Abstract
Desmoids are benign tumours originating from connective tissue.
Their uncontrolled growth can threaten organ function,
especially in the abdominal location, when presenting as mesenteric
fibromatosis. There have been only a few case reports of
the coexistence of mesenteric fibromatosis and Crohn’s disease.
All of them were in adults, mostly with potential risk factors for
desmoid tumours including female sex, oestrogen intake and
abdominal surgery.
We present, to our knowledge, the first paediatric case of the
coexistence of both conditions. A 15 -year -old boy was operated
on due to an obstruction of the gastrointestinal tract. Preoperative
radiological examination suggested a tumour causing intussusception.
Intraoperatively, a tumour and a significant length
of infiltrated ileum were resected. Histopathological examination
confirmed a desmoid tumour in the course of mesenteric
fibromatosis and Crohn’s disease. The patient has been treated
pharmacologically since.
Further research is needed to explain their origin and simultaneous
appearance in children.
MoreTranslated text
Key words
choroby leśniowskiego–crohna
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