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Desmoid tumor in Gardner's Syndrome presented as acute abdomen

Andreas Hatzimarkou1 email, Dimitrios Filippou1 email, Vasilios Papadopoulos2 email, Georgios Filippou1 email, Spiros Rizos1 email and Panagiotis Skandalakis3 email

1st Department of General Surgery, GP Hospital "Tzaneio", Pireaus, Tzani & Afentouli str. Pireaus, Athens, Greece

Department of Internal Medicine, Medical School, Democrition University of Thrace, Alexandroupoli, Greece

1st Department of Surgery, Medical School, University of Athens, Mikras Asias 75, 11527 Goudi, Athens, Greece

author email corresponding author email

World Journal of Surgical Oncology 2006, 4:18doi:10.1186/1477-7819-4-18

Published: 28 March 2006

Abstract

Background

Gardner's syndrome can occasionally be complicated with intra-abdominal desmoid tumor. These tumors usually remain asymptomatic but can exhibit symptoms due to intestinal, vascular and ureteral compression and obstruction.

Case presentation

A rare case of a 41-year-old male patient with Gardner's syndrome complicated with intra-abdominal desmoid tumor, which first presented as acute abdomen, is presented.

Conclusion

Extra-abdominal manifestations of Gardner's syndrome along with a palpable abdominal mass would raise suspicion for the presence of a desmoid tumor in the majority of cases. In life-threatening cases, surgical treatment should be considered as a palliative approach, though the extent of excision remains debatable


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