Akbulut S, Yilmaz M, Alan S, Kolu M, Karadag N. Coexistence of duodenum derived aggressive fibromatosis and paraduodenal hydatid cyst: A case report and review of literature. World J Gastrointest Surg 2018; 10(8): 90-94 [PMID: 30510634 DOI: 10.4240/wjgs.v10.i8.90]
Corresponding Author of This Article
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
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
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/
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
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.
