Article ID Journal Published Year Pages File Type
3244988 Journal of Acute Medicine 2012 4 Pages PDF
Abstract

Acute epigastric pain, especially in young females, is a very common cause of visits to the emergency room. We report a case of a 26-year-old woman presenting with acute epigastric tenderness initially but who was later found to have massive intra-abdominal hemoperitoneum caused by acute rupture of a tumor located over the pancreatic tail with adhesions to the stomach and transverse colon. A pancreatic malignancy with local metastasis was suspected initially. The patient was treated and recovered uneventfully. The final pathologic report revealed an extremely rare tumor called a mesenteric fibromatosis. To the best of our knowledge, this is the first reported case of a presentation of acute abdomen with hemoperitoneum as the pathologic result of pancreatic mesenteric fibromatosis.

Related Topics
Health Sciences Medicine and Dentistry Emergency Medicine
Authors
, , , , , ,