Turkish Journal of Urology
Case Report

Isolated flat desmoid-type terminal ileal mesenteric fibromatosis masquerading as lower ureteric stricture-an intraoperative surprise

1.

Sri Narayani Hospital and Research Centre, Vellore, India

Turk J Urol 1; 1: 0-0
DOI: 10.5152/tud.2018.30600
Read: 88 Downloads: 9 Published: 25 July 2019

Abstract

 

Ureteral strictures are usually caused by ureteral calculi, endoscopic instrumentation, infections like tuberculosis, surgical dissection, radiation, malignancy and periureteral fibrosis. A 42-year-old man presented with right loin pain 2 months previously. Contrast-enhanced computed tomography showed right lower ureteral stricture and he was scheduled for right ureteral reimplantation. Intraoperatively, a large hard mass arising from the mesentery of the terminal ileum infiltrating the retroperitoneum and encasing the right external iliac artery, vein and ureter was identified. The mass was resected and psoas hitch was performed over a 5F (26 cm) double J stent. Patient was discharged on tenth postoperative day and is still doing well at 18 months of follow up period. We are reporting this case to highlight the rare possibility of mesenteric fibromatosis and its management.

 

 

Cite this article as: Karthikeyan A, Veena J, Karthikeyan VS, Kumar M. Isolated flat desmoid-type terminal ileal mesenteric fibromatosis masquerading as lower ureteric stricture-an intraoperative surprise. Turk J Urol 2018. DOI: 10.5152/tud.2018.30600

ISSN2149-3235 EISSN 2149-3057