DOI: https://doi.org/10.36347/sasjs.2024.v10i08.007

Pages: 939-941

Mesenteric Fibromatosis (MF) is a proliferative fibroblastic lesion of the small intestinal mesentery. It is a rare type of desmoid tumour. It can occur sporadically or in association with familial adenomatous polyposis (FAP). It is generally seen in females in reproductive age group and is a locally aggressive benign tumour. Patients present with abdominal mass or other abdominal symptoms such intestinal obstruction, intestinal perforations, ureteral obstruction, etc. We describe a case of a 7 year old girl who presented with intestinal obstruction due to distal ileal mesenteric bands. Exploratory laparotomy and adhesiolysis of mesenteric bands was done and the excised band was sent for histopathology, which suggested mesenteric desmoid-type fibromatosis. As there is a chance of local recurrence, patient has been kept under regular follow up with ultrasound of abdomen and for any abdominal symptoms. According to our literature search, this is the only reported case of such a presentation of mesenteric fibromatosis presenting as localised mesenteric bands without any mesenteric or retroperitoneal abdominal mass in a child.