Transverse Colonic Volvulus Due to Mesenteric Fibromatosis: a Case Report

Overview

Journal BMC Gastroenterol

Publisher Biomed Central

Specialty Gastroenterology

Date 2021 Jan 7

PMID 33407154

Authors

Akihiro Yoshida

Yasutake Uchima

Naoki Hosaka

Kosuke Minaga

Masatoshi Kudo

Affiliations

Soon will be listed here.

Abstract

Background: Colonic volvulus, a condition in which a colonic segment partially twists around its base, is the third leading cause of large bowel obstruction after colonic neoplasms and diverticular disease. However, volvulus of the transverse colon is the rarest type of large intestinal volvulus. Moreover, the occurrence of transverse colonic volvulus secondary to a benign tumor originating from outside the intestine has never been reported. We hereby report a case of transverse colonic volvulus caused by mesenteric fibromatosis.

Case Presentation: A 53-year-old female with a history of rheumatoid arthritis and thyroid tumor presented with abdominal pain for 1 day. Abdominal computed tomography revealed intestinal torsion at the hepatic flexure. Twisted and obstructed mucosa of the transverse colon was observed during colonoscopy, but no tumor invasion of the mucosal surface was detected. A solid mass of a mesenteric origin with involvement of the transverse colon was observed during surgery. The mass was diagnosed surgically as transverse colonic volvulus induced by a mesenteric tumor. Hence, the patient underwent a right hemicolectomy. Histopathological results indicated mesenteric desmoid-type fibromatosis. The postoperative recovery was uneventful, and the patient was discharged 8 days after surgery.

Conclusions: Although mesenteric fibromatosis is rare, this disease should be considered when managing transverse colonic volvulus resulting from nonmucosal tumors.

Citing Articles

Desmoid fibromatosis arising from caecum: an overview of the challenges in diagnosis and treatment.

Luca M, Damadi A, Katuwal B BMJ Case Rep. 2025; 18(2).

PMID: 39947719 PMC: 11831054. DOI: 10.1136/bcr-2024-263030.

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