The dilemma in management of desmoid tumour: A case report

Introduction Desmoid tumours are rare benign tumours. The may develop sporadically or they be linked to familial adenomatous polyposis (FAP) in Gardner’s syndrome. Aim This article highlights a young lady with an intra-abdominal desmoid tumour that manifested as acute abdomen and we discuss our management strategy. Case study A 24-year-old known FAP who had undergone panproctocolectomy ileal pouch-anal anastomosis total thyroidectomy, later was complicated for symptomatic tumour. Computed tomography of the showed large intraperitoneal heterogenous mass small bowel displacement confirmed by magnetic resonance imaging. An exploratory laparotomy en-bloc resection end ileostomy were performed. Results discussion Intra-abdominal usually present painless slow-growing mass, however, severe form, it can cause ischemia, intestinal obstruction, deterioration function ileoanal anastomosis, among post colectomy. Surgery is indicated upfront specific clinical scenarios namely complications (occlusion, perforation, bleeding) major cosmetic issues. Conclusions tumour, despite being benign, challenging manage due its compressing nature. As key point, diagnosis should suspected followed up closely patients previous history combination extracolonic manifestation.