Case Report
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Nov 27, 2018; 10(8): 90-94
Published online Nov 27, 2018. doi: 10.4240/wjgs.v10.i8.90
Coexistence of duodenum derived aggressive fibromatosis and paraduodenal hydatid cyst: A case report and review of literature
Sami Akbulut, Mehmet Yilmaz, Saadet Alan, Mehmet Kolu, Nese Karadag
Sami Akbulut, Department of Surgery and Liver Transplant Institute, Inonu University Faculty of Medicine, Malatya 244280, Turkey
Mehmet Yilmaz, Department of Surgery, Inonu University Faculty of Medicine, Malatya 244280, Turkey
Saadet Alan, Nese Karadag, Department of Pathology, Inonu University Faculty of Medicine, Malatya 244280, Turkey
Mehmet Kolu, Department of Radiology, Inonu University Faculty of Medicine, Malatya 244280, Turkey
Author contributions: Akbulut S designed the report, analyzed the data and wrote the paper; Akbulut S and Yilmaz M performed the surgical procedure and collected the patient’s clinical data; Alan S and Karadag N provided histopathological information; Kolu M provided radiological information.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and accompanying images.
Conflict-of-interest statement: The authors declare no potential conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author to: Sami Akbulut, MD, Associate Professor, FACS, Department of Surgery and Liver Transplant Institute, Inonu University Faculty of Medicine, Elazig Yolu 10. Km, Malatya 44280, Turkey. akbulutsami@gmail.com
Telephone: +90-422-3410660 Fax: +90-422-3410036
Received: July 6, 2018
Peer-review started: July 6, 2018
First decision: July 29, 2018
Revised: August 5, 2018
Accepted: October 17, 2018
Article in press: October 17, 2018
Published online: November 27, 2018
Processing time: 144 Days and 9.9 Hours
ARTICLE HIGHLIGHTS
Case characteristics

A 46-year-old female patient presented to our outpatient clinic with postprandial nausea and vomiting.

Clinical diagnosis

Upper gastrointestinal obstruction due to pancreatic/duodenal tumor.

Differential diagnosis

Pancreatic mass, Duodenal mass.

Laboratory diagnosis

Both biochemical parameters and tumor markers were within normal limits.

Imaging diagnosis

A contrast-enhanced abdominal computerized tomography revealed a mass lesion with a size of 100 mm × 80 mm which originated from the distal pancreas.

Pathological diagnosis

Aggressive fibromatosis also known as a desmoid tumor originated from the muscularis propria of the duodenum and a paraduodenal hydatid cyst.

Treatment

The fourth part of the duodenum, proximal jejunum, distal pancreas, and the spleen were removed en-bloc. After then, an end-to-end anastomosis was performed between the third part of duodenum and proximal jejunum.

Related reports

There are only two case report describing aggressive fibromatosis that originated from the intestinal wall.

Term explanation

Fibromatosis can be categorized into two groups: superficial and deep. Deep fibromatosis also known as aggressive fibromatosis, desmoid tumor, and desmoid-type fibromatosis. Desmoid-type fibromatosis can be categorized into three groups: extra-abdominal, abdominal wall, intra-abdominal fibromatosis.