A Rare Solitary Fibrous Tumor of the Mesorectum: A Case Report

TL;DR

A rare case of a solitary fibrous tumor in the mesorectum is reported, highlighting the use of 3D-CT for safe surgical planning.

Contribution

This is the seventh reported case of mesorectal SFT and emphasizes the usefulness of preoperative 3D-CT in surgical planning.

Findings

A 49-year-old female was diagnosed with a mesorectal SFT confirmed via histopathology.

Preoperative 3D-CT helped identify blood vessels and enabled a safe high anterior resection without bleeding.

The patient remains recurrence-free, and the case underscores the importance of including SFT in differential diagnoses.

Abstract

Solitary fibrous tumors (SFTs) are rare tumors that predominantly occur in the mesorectum. Few case reports have been published on mesorectal tumors, and this is the seventh case report. A 49-year-old female patient presented with a hypervascularized mesorectal tumor discovered incidentally during a routine medical examination. Using preoperative three-dimensional computed tomography (3D-CT), we identified vessels originating from the superior rectal and lateral sacral arteries, which are important sources of nutrients, and performed the procedure safely and without bleeding. Considering the lack of preoperative diagnosis and rectal blood flow, high anterior resection was performed. The histopathological diagnosis confirmed SFT, and the patient is currently doing well with no recurrence. Although SFT of the mesorectum occurs infrequently, it should be included in the differential diagnosis. In addition, the usefulness of preoperative 3D-CT, including the arterial phase, has been emphasized in such cases. This is the seventh reported case of a rare SFT in the mesorectum. Currently, there is no literature highlighting the usefulness of 3D-CT for SFTs of the mesorectum. However, it is a valuable preparatory tool for preoperative evaluation.

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