Successful resection of an ileoanal pouch mesenteric desmoid without pouchsacrifice - Report of a case

PURPOSE: Intra-abdominal desmoid tumors are associated with familial adenom atous polyposis and may compromise ileoanal pouch function after restorativ e proctocolectomy, particularly if the pouch mesentery is involved. This us ually necessitates pouch. excision. The aim of this report was to describe the first known case of pouch salvage after surgery for a desmoid tumor ari sing from the pouch mesentery. METHODS: The management of a desmoid tumor i nvolving an ileoanal pouch in a 21-year-old female is described and the lit erature reviewed. RESULTS: The tumor was successfully excised completely af ter failed medical therapy, and pouch function was fully presented. CONCLUS IONS: This is a unique case highlighting the possibility of pouch salvage w hen affected by desmoid tumor.