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Calcifying fibrous tumors (CFTs) are uncommon benign tumors occurring in children and young adults. They arise in various anatomic sites, including subcutaneous and deep soft tissue, pleura, and peritoneum. Histologically, the tumor appears as a relatively well-circumscribed mass consisting of hypocellular hyalinized collagen and bland spindle cells, showing patchy lymphoplasmacytic infiltration and dystrophic calcifications. CFT of the gastrointestinal tract is extremely rare, and it can be difficult to distinguish from other spindle cell lesions that are more common. Moreover, its presence may be obscured by other clinical disorders. We report a case of incidentally detected mesenteric CFT during surgical treatment for bowel perforation and hernia.

Traumatic Bowel Perforation and Inguinal Hernia Masking a Mesenteric Calcifying Fibrous Tumor