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Case Report

Desmoid Abdominal Tumour: A Clinical Case Report and Brief Literature Review

1
Clinic of Gastroenterology, Departmentof Internal Diseases, St. MarinaHospital, Varna
2
Medical University “Dr. Paraskev Stoyanov”, Varna
3
Department of Pathology, St. MarinaHospital, Varna
*
Author to whom correspondence should be addressed.
Gastroenterol. Insights 2017, 8(1), 6665; https://doi.org/10.4081/gi.2017.6665
Submission received: 26 June 2017 / Accepted: 28 September 2017 / Published: 11 July 2018

Abstract

Desmoid tumors are unique mesenchymal neoplasm. They are able to spread to proximal tissues but tend not to metastasize. Our case presents a 66-year-old female referred for evaluation of the prominent, palpable mass located into the left abdomen. Imaging studies revealed a tumor up to 22 cm, extending below the diaphragm to the retroperitoneal and intra-abdominal cavity. Contrast enhanced ultrasound showed strong inhomogeneous arterial hyper-enhancement followed by persistent enhancement in a venous phase. Histology obtained with trucut needle biopsy established desmoid tumor, with overall proliferating activity (Ki-67 expression) of 20%. The lesion had been identified as sporadic and unresectable. During the patient’s follow-up a slow but continuous elevation of serum creatinine was registered eventually led to anuria, requiring emergent hemodialysis. The non-obstructing nephropathy is an unusual complication of the disease course, therefore we briefly reviewed the published data on abdominal desmoid tumors and critically analyzed the relation with kidney injury.
Keywords: desmoid tumour; abdominal neoplasm; contrast enhanced ultrasound; nephropathy desmoid tumour; abdominal neoplasm; contrast enhanced ultrasound; nephropathy

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MDPI and ACS Style

Ivanova, I.; Arif, S.; Dinev, D.; Kalchev, K.; Atanassova, M.; Kotzev, I. Desmoid Abdominal Tumour: A Clinical Case Report and Brief Literature Review. Gastroenterol. Insights 2017, 8, 6665. https://doi.org/10.4081/gi.2017.6665

AMA Style

Ivanova I, Arif S, Dinev D, Kalchev K, Atanassova M, Kotzev I. Desmoid Abdominal Tumour: A Clinical Case Report and Brief Literature Review. Gastroenterology Insights. 2017; 8(1):6665. https://doi.org/10.4081/gi.2017.6665

Chicago/Turabian Style

Ivanova, Irina, Shahswar Arif, Dinko Dinev, Kalin Kalchev, Maria Atanassova, and Iskren Kotzev. 2017. "Desmoid Abdominal Tumour: A Clinical Case Report and Brief Literature Review" Gastroenterology Insights 8, no. 1: 6665. https://doi.org/10.4081/gi.2017.6665

APA Style

Ivanova, I., Arif, S., Dinev, D., Kalchev, K., Atanassova, M., & Kotzev, I. (2017). Desmoid Abdominal Tumour: A Clinical Case Report and Brief Literature Review. Gastroenterology Insights, 8(1), 6665. https://doi.org/10.4081/gi.2017.6665

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