A RARE CASE OF A PRIMARY MESENTERIC FIBROMATOSIS IN A PERIPHERAL HEALTH CARE CENTRE

Background: - Mesenteric bromatosis (MF) is a monoclonal, myobroblastic, neoplastic proliferations that tend to show a locally aggressive behaviour, which is prone to aggressive local recurrences, but lacks metastatic potential. Primary or spontaneous MF is rare and occurs in the absence of any predisposing conditions. Case presentation: - We report a case of a 35-year-old female who presented with abdominal pain associated with no other symptoms. Her per abdominal examination revealed a rm mobile mass on palpation in the mid-abdomen. Her computed tomography scan revealed an 8.3cm x 7.8cm x 4.7cm non-enhancing hypodense lesion in the hypogastric region. She underwent laparoscopic surgical excision of the abdominal mass which was sent for histopathological examination. The microscopy showed proliferating broblasts along with entrapped skeletal muscle bers, nerve bundles, and a few blood vessels, with no atypia, mitosis, or necrosis, ndings were consistent with mesenteric bromatosis. Conclusion: - Mesenteric bromatosis is a rare tumour that generally grows at a slow rate and is asymptomatic. The nal diagnosis depends on the histopathology, which remains the gold standard for diagnosis.