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This case report refers to a 17-year-old woman who was admitted to a gynaecological ward with severe lower abdominal pain. She underwent an explorative laparotomy, which revealed a large mass arising from the appendix. Her uterus, ovaries and tubes were found to be normal. Appendicectomy and omental biopsy was performed. Histology revealed a mesenteric fibromatosis–desmoid tumour.
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