Mesenteric
Fibromatosis (MF) is a proliferative fibroblastic lesion of small intestinal mesentery. It constitutes 8% of all
desmoid tumours, which represent 0.03% of all
neoplasm. It is histologically benign but may invade locally and recur after excision. It occurs sporadically or in association with
Familial adenomatous polyposis (FAP) mutation as a component of
Gardner's syndrome. The presenting features of MF are asymptomatic abdominal mass, abdominal discomfort or
pain, bowel or
ureteral obstruction,
intestinal perforation,
fistula, functional impairment of ileoanal anastomosis following
colectomy in FAP cases. A 29-year-old male presented with a swelling on the right side of the umbilicus for six months and dull aching
pain for two months. Fine needle aspiration cytology, ultrasonography, contrast enhanced computerized tomography findings were inconclusive. After Exploratory
laparotomy, a mass approx 6x5x4 cm in ileal mesentery was identified and excised along with 20cm of ileum. End to end anastomosis was done and specimen was sent for histopathology which confirmed the diagnosis of MF. Considering the rarity of this tumour and difficulties in diagnostic and therapeutic ambit, we believe it is justified to describe this case which came to our observation.