Diagnosis and treatment of multiple postoperative fistulas following resection of a giant abdominal mesenteric fibromatosis: a case report and literature review - Takeaways - MDSpire

Diagnosis and treatment of multiple postoperative fistulas following resection of a giant abdominal mesenteric fibromatosis: a case report and literature review

  • By

  • Weihua Zheng

  • Junjie Lu

  • Shuai Jiang

  • Fan Zhang

  • Long Xia

  • Junjing Zhang

  • June 2, 2026

  • 0 min

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  • 1

    Mesenteric fibromatosis (MF) is a rare, locally aggressive tumor with a high postoperative recurrence rate and no metastatic potential.

  • 2

    The patient experienced rapid tumor progression and developed intestinal obstruction despite targeted therapy and immunotherapy.

  • 3

    Postoperative complications included multiple fistulas, which required a multidisciplinary team approach for effective management.

  • 4

    The patient underwent a complex surgical procedure, resulting in significant bowel resection and the creation of a high-output stoma.

  • 5

    Nutritional support transitioned from total parenteral nutrition to enteral nutrition, ultimately allowing the patient to tolerate oral feeding.

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