A rare case of rectal bleeding and Fusobacterium mortiferum sepsis due to solitary fibrous tumour originating from the mesentery

Swaminathan Perinkulam Sathyanarayanan; Khizar Hamid; Kayla Hoerschgen; Tony Oliver

doi:10.1136/bcr-2021-244603

A rare case of rectal bleeding and Fusobacterium mortiferum sepsis due to solitary fibrous tumour originating from the mesentery

BMJ Case Rep. 2021 Oct 13;14(10):e244603. doi: 10.1136/bcr-2021-244603.

Authors

Swaminathan Perinkulam Sathyanarayanan¹, Khizar Hamid², Kayla Hoerschgen³, Tony Oliver²

Affiliations

¹ Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA [email protected].
² Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.
³ Department of Pathology, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.

Abstract

Solitary fibrous tumours (SFTs) are rare mesenchymal tumours that are mostly seen in the pleura. Lately, they have also been described in other locations. Recent discovery of the NAB2-STAT6 fusion gene which is specific for SFTs has led to an accurate diagnosis of SFTs. The occurrence of SFTs in the mesentery is very rarely reported in the literature. We report a case of a 63-year-old female who presented with abdominal pain, rectal bleeding and Fusobacterium bacteraemia, who was ultimately found to have a mesenteric SFT.

Keywords: gas/free gas; general surgery; oncology.

Publication types

Case Reports

MeSH terms

Biomarkers, Tumor
Female
Fusobacterium
Humans
Immunohistochemistry
Mesentery
Middle Aged
Repressor Proteins / metabolism
STAT6 Transcription Factor / metabolism
Sepsis*
Solitary Fibrous Tumors* / complications
Solitary Fibrous Tumors* / diagnostic imaging
Solitary Fibrous Tumors* / surgery

Substances

Biomarkers, Tumor
Repressor Proteins
STAT6 Transcription Factor

Supplementary concepts

Fusobacterium mortiferum