A recurrent mesenteric mass is an abnormal tissue growth that reappears after a previous surgical removal, often due to the nature of the initial mass. Causes of recurrence vary and depend on the nature of the tumor. If the mass was benign, incomplete resection could lead to recurrence. If it was malignant, microscopic residual disease left behind after surgery can cause recurrence. Desmoid tumors have a higher propensity for recurrence due to their infiltrative nature. Symptoms can be non-specific and include abdominal pain, distension, nausea, vomiting, and changes in bowel habits. If the mass is large enough, it may cause bowel obstruction. Diagnosis typically involves a combination of imaging studies and tissue biopsy. CT scans, MRI, PET scans, and biopsy are essential for visualizing the mass and assessing its size, location, and relationship to surrounding structures.
Laparotomy resection is a surgical procedure where an incision is made in the abdomen to access and remove a mesenteric mass. This is performed when imaging studies and clinical evaluation suggest an abnormal growth, such as a tumor, cyst, or lesion, within the mesentery. The surgeon carefully identifies the mass, assesses its size, location, and relationship to surrounding structures, and proceeds with its complete removal. The goal is to excise the mass while minimizing damage to adjacent organs, blood vessels, and nerves. The surgical technique depends on the mass’s nature and extent. The excised tissue is then sent for pathological examination to determine its nature, guiding further management.
Mrs. Nacia Helena Jose Fote from Mozambique successfully underwent Laparotomy Surgery for Mesenteric Mass Excision at Yashoda Hospitals, Hyderabad, under the supervision of Dr. K. Sreekanth, Surgical Oncology.