Surgical Resection Of Mesenteric Fibroma: Report Of 1 Cases

Objective: To explore the diagnosis and treatment of mesenteric fibromatosis,in order to accumulate experience for similar cases of abdominal masses in the future.Methods:By analyzing the diagnosis and treatment process of a patient with mesenteric fibromatosis admitted to the department of gastrointestinal surgery of the second hospital of hebei medical university in 2018,this case and similar cases were analyzed and discussed before and after the diagnosis and treatment,followed up,and analyzed and evaluated the efficacy and shortcomings.Results:Under general anesthesia,the patient underwent surgery of abdominal mass resection+duodenal partial resection,and the tumor was successfully resected.On the 3rd day after the surgery,due to peritonitis caused by intestinal ischemic necrosis,the patient underwent emergency surgery of small bowel partial resection + ileocecal resection + peritoneal irrigation and drainage.Postoperative gastrointestinal function recovered well,incision infection was found,and no other complications were found.The patient was discharged from the hospital 20 days after the operation,and no signs of tumor recurrence were found in the one-year follow-up,and no symptoms of weight loss and malnutrition were found.Conclusion:1.Surgery is the first choice for the treatment of mesenteric fibromas,which should be resected as completely as possible,and combined with organ resection if necessary.2.For the case of abdominal mass with unknown nature,preoperative diagnosis should be as clear as possible.The tumor was considered to be malignant tumor during the operation,and the radical effect should be achieved as far as possible during the operation.;If important blood vessels are cut off,partial resection of the blood supply organs can be considered according to the situation of blood supply,so as to avoid the aggravation of secondary surgery.3.The surgeon should not only have excellent operation skills,but also have sufficient experience and knowledge reserve to deal with the intraoperative choice.