Open AccessProliferative fasciitis arising from the abdominal wall: A rare tumour excised by laparoscopy
Author(s) -
Ashish Dey,
Anmol Ahuja,
Tarun Mittal,
Mohd Taha Mustafa Sheikh,
Shashi Dhawan,
Vinod Malik
Publication year - 2022
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_317_20
Subject(s) - medicine , lesion , fasciitis , abdomen , abdominal wall , fascia , presentation (obstetrics) , nodular fasciitis , surgery
Proliferative fasciitis (PF) is a rare pseudosarcomatous lesion arising from the subcutaneous fascia and the fibrous septa. Only few hundred cases have been reported in the literature. In the largest series of 53 patients, only two patients had PF lesion arising from the flank. The most common site of origin is extremities followed by abdomen and head and neck. Its origin from the abdominal wall layer and presentation as the fever has been rarely reported in the literature. A PF lesion larger than 5 cm dimension has been sparsely noted. We report the presence of this rare entity in a 68-year-old gentleman who presented to us with low-grade fever and the presence of large lump arising from the abdominal wall. In our patient, the lesion was arising from transervsalis fascia and was excised in toto laparoscopically without damaging the abdominal muscles. It is imperative to differentiate both these lesions from sarcoma on histopathological examination as the follow-up treatment protocols for both vary.