Desmoid Tumor Mimicking a Strangulated Hernia: About A Case

Desmoid tumors of the abdominal wall are very rare. Nonspecific clinical presentation may lead to misdiagnosis. Radiological explorations are very contributive to help guide the diagnosis. Histological and immunohistochemical examination are mandatory to confirm the diagnosis. In our case, a rare desmoid tumor mimicked a strangulated hernia on a Pfannenstiel scar. The patient was operated. Preoperative findings revealed a solid tumor developing from the muscles of the anterolateral abdominal wall. The tumor was resected taking away a macroscopically healthy tissue. The peritoneum was not invaded and a polypropylene mesh has been set. The postoperative follow-up was simple. Anatomopathological examination associated with immunohistochemical determination concluded to a desmoid tumor.