PMC7708862_01
Ultrasound: Slightly hypoechoic mass with some cystic area (Arrow).
gr1.jpg
PMC7708862_01_gr1.jpg
fig0005
CT Scan: Slightly isodense mass, adherent to ascending bowel (Red Arrow), with some cystic areas (Blue Arrow).
gr2.jpg
PMC7708862_01_gr2.jpg
fig0010
The liver is homogeneous and free of detectable lesions (Fig. 2).
Intraoperative Image: Bulky mass adherent to the great omentum by large vessels.
gr3.jpg
PMC7708862_01_gr3.jpg
fig0015
Identification of a very bulky mass of around 30 cm in diameter fixated in the right iliac fossa, adherent to the great omentum by large vessels, coagulated using vessel sealing electrosurgical cautery device (Fig. 3).
Intraoperative Image: Removal of the mass 'en bloc' with terminal ileum and colon.
gr4.jpg
PMC7708862_01_gr4.jpg
fig0020
Removal of the mass 'en bloc' (Fig. 4, Fig. 5).
Fibromatosis showing fascicles of spindle cells. (x1000).
gr6.jpg
PMC7708862_01_gr6.jpg
fig0030
Microscopic examination showed fascicles of spindle cells adherent to the wall of the cecum and appendix without mucosal invasion (Fig. 6, Fig. 7).
Fibromatosis, vascularized and myxoid stroma (x1000).
gr8.jpg
PMC7708862_01_gr8.jpg
fig0040
The stroma is myxoid and highly vascularized (Fig. 8).
1 year CT scanner follow-up shows no intra-abdominal lesion.
gr9.jpg
PMC7708862_01_gr9.jpg
fig0045