Diagnosis and treatment of multiple postoperative fistulas following resection of a giant abdominal mesenteric fibromatosis: a case report and literature review
Weihua Zheng, Junjie Lu, Shuai Jiang, Fan Zhang, Long Xia, Junjing Zhang · 2026
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Description
Weihua Zheng and co-authors narrate in 2026 the difficult course of a woman whose giant abdominal fibromatosis resisted drug treatment and then complicated its own surgical removal. The tumor, a rare locally aggressive growth in the belly membrane, kept progressing through targeted and immune therapy until it blocked her intestine. A radical operation removed it, but a cascade of abnormal connections, or fistulas, opened afterward between bowel, vagina, and urinary tract.
A multidisciplinary team managed the leaks with careful drainage to control infection, nutrition that stepped from vein feeding back to eating, and handling of a high-output stoma. She recovered enough to eat by mouth, leaving hospital with drainage tubes in place. The authors advise watching scans for a warning pattern they call tension cystic change, and committing early to surgery-led team care.
Catalog record
| CREATOR | Weihua Zheng, Junjie Lu, Shuai Jiang, Fan Zhang, Long Xia, Junjing Zhang |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 24 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |