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Abdominal wall fibromatosis associated with previous laparoscopic hernia repair

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Abstract

Cases

Two cases of desmoid-type fibromatosis developing after laparoscopic hernia repair are described: one in a young male 3 years after laparoscopic umbilical hernia repair and the other in a young female 1 year after laparoscopic incisional hernia repair.

Findings

The male patient presented with a slowly enlarging non-tender firm abdominal wall mass; the female patient had similar findings. Excision biopsy in the male and core biopsy in the female were consistent with fibromatosis.

Treatment

The young male patient underwent resection of the fibromatosis, and the female patient has been managed conservatively.

Relevance to current knowledge

These are the first documented cases of fibromatosis developing after laparoscopic hernia surgery. Whilst the safety of hernia meshes has been assessed in animal studies, it may be that more detailed study of intraperitoneal placement of these meshes is required.

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References

  1. Sturt NJ, Clark SK (2006) Current ideas in desmoid tumours. Fam Cancer 5:275–285

    Article  PubMed  Google Scholar 

  2. Sturt NJH, Gallagher MC, Bassett P, Philp CR, Neale KF, Tomlinson IPM, Silver ARJ, Phillips RKS (2004) Evidence for genetic predisposition to desmoid tumours in familial adenomatous polyposis independent of the germline APC mutation. Gut 53:1832–1836

    Article  PubMed  CAS  Google Scholar 

  3. Gurbuz AK, Giardiello FM, Petersen GM, Krush AJ, Offerhaus GJ, Booker SV, Kerr MC, Hamilton SR (1994) Desmoid tumours in familial adenomatous polyposis. Gut 35:377–381

    Article  PubMed  CAS  Google Scholar 

  4. Murphey MD, Ruble CM, Tyszko SM, Zbojniewicz AM, Potter BK, Miettinen M (2009) From the archives of the AFIP: musculoskeletal fibromatoses: radiologic-pathologic correlation. Radiographics 29:2143–2173

    Article  PubMed  Google Scholar 

  5. Abraham SC, Reynolds C, Lee JH et al (2002) Fibromatosis of the breast and mutations involving the APC/beta-catenin pathway. Hum Pathol 33:39–46

    Article  PubMed  CAS  Google Scholar 

  6. Bhattacharya B, Dilworth HP, Iacobuzio-Donahue C, Ricci F, Weber K, Furlong MA, Fisher C, Montgomery E (2005) Nuclear beta-catenin expression distinguishes deep fibromatosis from other benign and malignant fibroblastic and myofibroblastic lesions. Am J Surg Pathol 29:653–659

    Article  PubMed  Google Scholar 

  7. Miyoshi Y, Iwao K, Nawa G, Yoshikawa H, Ochi T, Nakamura Y (1998) Frequent mutations in the beta-catenin gene in desmoid tumors from patients without familial adenomatous polyposis. Oncol Res 10:591–594

    PubMed  CAS  Google Scholar 

  8. Montgomery E, Torbenson MS, Kaushal M et al (2002) Beta-Catenin immunohistochemistry separates mesenteric fibromatosis from gastrointestinal stromal tumor and sclerosing mesenteritis. Am J Surg Pathol 26:1296–1301

    Article  PubMed  Google Scholar 

  9. Tejpar S, Nollet F, Li C, Wunder JS, Michils G, dal Cin P, Van Cutsem E, Bapat B, van Roy F, Cassiman JJ, Alman B (1999) Predominance of beta-catenin mutations and beta-catenin dysregulation in sporadic aggressive fibromatosis (desmoid tumor). Oncogene 18:6615–6662

    Google Scholar 

  10. Kulaylat MN, Karakousis CP, Keaney CM, McCorvey D, Bem J, Ambrus JL Sr (1999) Desmoid tumour: a pleomorphic lesion. Eur J Surg Oncol 25:487–497

    Article  PubMed  CAS  Google Scholar 

  11. Wanjeri JK, Opeya CJ (2011) A massive abdominal wall desmoid tumor occurring in a laparotomy scar: a case report. World J Surg Oncol 9:35

    Article  PubMed  Google Scholar 

  12. Delpla PA, Rouge D, Durroux R, Rouquette I, Arbus L (1998) Soft tissue tumors following traumatic injury: two observations of interest for the medicolegal causality. Am J Forensic Med Pathol 19:152–156

    Article  PubMed  CAS  Google Scholar 

  13. Suárez Artacho G, Jiménez Rodríguez R, Díaz Pavón JM, Sánchez Gil J, Vázquez Monchul J (2009) Desmoid tumor arising in a laparoscopic trocar site after colectomy. J Rev Esp Enferm Dig 101:814–815

    Google Scholar 

  14. Kaplan DB, Levine EA (1998) Desmoid tumor arising in a laparoscopic trocar site. Am Surg 64:388–390

    PubMed  CAS  Google Scholar 

  15. Oguz M, Bedirli A, Gultekin A, Dursun A, Mentes BB (2006) Desmoid tumor arising at the colostomy site after abdominoperineal resection for rectal carcinoma: report of a case. Dis Colon Rectum 49:1445–1448

    Article  PubMed  Google Scholar 

  16. Burger JW, Halm JA, Wijsmuller AR, ten Raa S, Jeekel J (2006) Evaluation of new prosthetic meshes for ventral hernia repair. Surg Endosc 20(8):1320–1325

    Article  PubMed  CAS  Google Scholar 

  17. Oppenheimer BS, Oppenheimer ET, Purdy Stout A, Willhite M, Danishefsky I (1958) The latent period in carcinogenesis by plastics in rats and its relation to the presarcomatous stage. Cancer 11:204–213

    Article  PubMed  CAS  Google Scholar 

  18. Witherspoon P, Bryson G, Wright DM, Reid R, O’Dwyer PJ (2004) Carcinogenic potential of commonly used hernia repair prostheses in an experimental model. Br J Surg 91:368–372

    Article  PubMed  CAS  Google Scholar 

  19. Jacob BP, Hogle NJ, Durak E, Kim T, Fowler DL (2007) Tissue ingrowth and bowel adhesion formation in an animal comparative study: polypropylene versus proceed versus parietex composite. Surg Endosc 21(4):629–633

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

The authors would like to thank the patients for their consent to the writing of this Brief Report. Professor O’Dwyer investigated the two patients, operated on one and suggested the writing of a case report. Dr. MacDuff performed all histological examinations and provided the specimen photograph. Dr. Brown was involved in the care of one of the patients, performed a literature review and wrote the manuscript.

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Department of Surgery, Royal Alexandra Hospital, Paisley, UK

    S. B. F. Brown

  2. Department of Pathology, Western Infirmary, Glasgow, UK

    E. MacDuff

  3. Department of Surgery, Gartnavel General Hospital, Glasgow, UK

    P. J. O’Dwyer

Authors
  1. S. B. F. Brown
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  2. E. MacDuff
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  3. P. J. O’Dwyer
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Corresponding author

Correspondence to S. B. F. Brown.

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Brown, S.B.F., MacDuff, E. & O’Dwyer, P.J. Abdominal wall fibromatosis associated with previous laparoscopic hernia repair. Hernia 17, 669–672 (2013). https://doi.org/10.1007/s10029-013-1067-x

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  • DOI: https://doi.org/10.1007/s10029-013-1067-x

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