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June 1972

Mesenteric Fibromatosis Following Colectomy for Familial Polyposis

Author Affiliations

Iowa City
From the departments of surgery (Dr. Chanco) and pathology (Dr. Rose), College of Medicine, University of Iowa, Iowa City.

Arch Surg. 1972;104(6):851-852. doi:10.1001/archsurg.1972.04180060099025

A 39-year-old woman developed mesenteric fibromatosis three years following total colectomy for familial polyposis. The surgical trauma of colectomy is believed to be a factor in the development of mesenteric fibromatosis. Clinical and pathological findings distinguish this lesion from metastatic intra-abdominal carcinomatosis, and the suggestion is made that mesenteric fibromatosis be considered as one of the causes of progressive abdominal enlargement and palpable abdominal masses. Surgical resection may be curative if performed before the proliferating fibrous masses incorporate nerves and major abdominal vessels.