Diseases of the Colon & Rectum

, Volume 43, Issue 5, pp 713–716 | Cite as

Successful resection of an ileoanal pouch mesenteric desmoid without pouch sacrifice

Report of a case
  • Richard J. Guy
  • Neil J. McC. Mortensen
Case Reports


PURPOSE: Intra-abdominal desmoid tumors are associated with familial adenomatous polyposis and may compromise ileoanal pouch function after restorative proctocolectomy, particularly if the pouch mesentery is involved. This usually necessitates pouch excision. The aim of this report was to describe the first known case of pouch salvage after surgery for a desmoid tumor arising from the pouch mesentery. METHODS: The management of a desmoid tumor involving an ileoanal pouch in a 21-year-old female is described and the literature reviewed. RESULTS: The tumor was successfully excised completely after failed medical therapy, and pouch function was fully preserved. CONCLUSIONS: This is a unique case highlighting the possibility of pouch salvage when affected by desmoid tumor.

Key words

Familial adenomatous polyposis Restorative proctocolectomy Ileoanal pouch Desmoid tumor 


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Copyright information

© American Society of Colon and Rectal Surgeons 2000

Authors and Affiliations

  • Richard J. Guy
    • 1
  • Neil J. McC. Mortensen
    • 1
  1. 1.From the Department of Colorectal SurgeryJohn Radcliffe HospitalHeadington, OxfordUnited Kingdom

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