完全内臓逆位を併存し腸間膜線維腫症を伴った不完全型Gardner症候群の1例

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  • A CASE OF MESENTERIC FIBROMATOSIS IN INCOMPLETE GARDNER'S SYNDROME WITH TOTAL SITUS INVERSUS

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We report a case of mesenteric fibromatosis with incomplete Gardner's syndrome and total situs inversus. A 34-year-old female was found to have a history of polyposis coli and dextrocardia in childhood. Intraabdominal tumor was detected at the time of left oophorectomy in July 2002, and she was referred to our hospital. Abdominal CT and MRI showed total situs inversus and a 10×5×4cm tumor in the abdomen. Barium enema roentgenogram showed numerous small polyps. Laparotomy was performed in August 2002. In the operation we paid close attention to the mirror image. The tumor was located in the mesostenium and had invaded the small intestine and duodenum. The entire tumor and segment of the small intestine and duodenum were resected. This case had polyposis coli but no osteoma, and the histological findings of the tumor revealed a mesenteric fibromatosis. Thus, we made a diagnosis of incomplete Gardner's syndrome. The tumor recurred one year after the operation. Laparotomy revealed unresectable recurrent mesenteric fibromatosis.

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