Aggressive Fibromatosis of the Left Mesocolon Mimicking a Gastrointestinal Stromal Tumor: A Case Report

Mesenteric fibromatosis (MF) is a proliferative fibroblastic lesion of the intestinal mesentery. It constitutes 8% of all desmoid tumors, representing 0.03% of all neoplasms. It is benign histologically, although it could infiltrate locally and recur following excision; however, it is free from the potential to metastasize. It is spontaneous or associated with familial adenomatous polyposis (FAP]) mutation as a part of Gardner’s syndrome. This case report discusses the radiological, intraoperative, and histopathological findings from a 45-year-old male patient who presented with abdominal pain and a palpable mass in the left hemiabdomen. The pain was dull and aching, extending to the back and unrelated to any other gastrointestinal symptoms. There was no history of severe weight reduction. Furthermore, he is not a smoker. There were no comorbidities, severe medical diseases, or prior surgical procedures. Computerized tomography revealed a well-defined, lobulated, heterogeneously enhancing altered signal intensity mass at the mesocolon. Ultrasonography of the abdomen showed an intra-abdominal mass. Macroscopic mass characteristics include a well-defined mass measuring 22 × 14 × 11 cm connected to a small intestine segment measuring 21 × 2 × 2 cm. Histopathological and immunohistochemical examinations of the resected tumor, including positive nuclear immunostaining for beta-catenin, confirmed a postoperative diagnosis of desmoid-type fibromatosis. Based on its clinical presentation and computed tomography results, this case demonstrated how desmoid-type fibromatosis of the colon might mimic gastrointestinal stromal tumors (GISTs). Due to the varied therapies and follow-up methods used for these lesions, the differential diagnosis between desmoid-type fibromatosis and GIST is clinically significant

An Intestinal Type Gastric Neuroendocrine Tumor: A Case Report

Neuroendocrine tumors (NETs) represent a diverse set of malignancies, originating from the neuroendocrine cells dispersed throughout the body. Their symptoms are associated with the secretion of bioactive peptides by tumor cells. Five-year survival rates depend on the disease stage: 93% for local, 74% for regional, and 19% for metastatic disease. This report describes a case involving a 64-year-old male patient, who was enduring high blood pressure and anemia. His symptomatology included frequent fainting and bloody vomiting without prior bleeding, coupled with persistent abdominal pain and weight loss. A complete blood count revealed microcytic anemia. His condition improved postoperatively after the transfusion of two units of packed red blood cells, normalizing all parameters. Further biochemistry and serology tests did not provide significant insights. However, an upper endoscopy unveiled a deep ulcer below the gastroesophageal junction with ulcer desquamation. A combination of clinical, laboratory, and radiographic data initially indicated a gastric carcinoma of the intestinal type, characterized by extensive extracellular mucin secretion. The surgical intervention led to the extraction of multiple tumors from lymph nodes, culminating in a postoperative diagnosis of a gastrointestinal (GI) mesenchymal tumor. NETs predominantly manifest in the GI tract, initiating primarily in the small intestine but can also originate in the stomach, appendix, colon, and other parts of the GI tract. Their development from neuroendocrine cells enables them to produce high concentrations of hormone-like substances such as neuropeptides and amines

Late small bowel perforation from a migrated double plastic biliary stent: A case report and a review of literature of 85 cases from 2000 to 2022

Key Clinical Message This case highlights the importance of considering stent migration as a possible cause of intestinal perforation and the need for prompt surgical intervention. Abstract Endo‐biliary stent displacement is rare but can cause intestinal perforation. An 85‐year‐old woman with a history of ERCPs and biliary stents experienced stomach pain and vomiting. She was diagnosed with small bowel perforation from migrated stents and underwent emergency laparotomy, bowel resection, and tension‐free stapled anastomosis

The Impact of Obesity on Psychological and Social Aspects of Life

Introduction: Obesity rates have been markedly increased in developing countries. Also, during the last decades, rising rates of psychological diseases and subsequent suicide have been reported. Thus, the objective of this study was to explore the extent to which increased body weight affects the psychological and social aspects of life. Methods: Using a sample constituted of both genders from different ages, divided into groups based on body mass index, the psychological and social aspects were evaluated using the world health organization quality of life brief (WHOQOL-BREF), an abbreviated version of the world health organization quality of life (WHOQOL-100). Results: The results indicated that groups with higher body mass index had more psychological problems than the groups with normal or lower body mass index and being overweight interferes with having a normal social life. Conclusion: considering the results, more importance and awareness needs to be given to those who suffer from obesity. Also, further research into the psychological and social effects of obesity needs to be stressed

The Impact of Obesity on Psychological and Social Aspects of Life

Introduction: Obesity rates have been markedly increased in developing countries. Also, during the last decades, rising rates of psychological diseases and subsequent suicide have been reported. Thus, the objective of this study was to explore the extent to which increased body weight affects the psychological and social aspects of life. Methods: Using a sample constituted of both genders from different ages, divided into groups based on body mass index, the psychological and social aspects were evaluated using the world health organization quality of life brief (WHOQOL-BREF), an abbreviated version of the world health organization quality of life (WHOQOL-100). Results: The results indicated that groups with higher body mass index had more psychological problems than the groups with normal or lower body mass index and being overweight interferes with having a normal social life. Conclusion: considering the results, more importance and awareness needs to be given to those who suffer from obesity. Also, further research into the psychological and social effects of obesity needs to be stressed