Chalise, AnupRajbhandari, Ashish PrasadDhakhwa, Ramesh2026-02-172026-02-172021https://hdl.handle.net/20.500.14572/4794Anup Chalise Department of Surgery, Nepal Medical College and Teaching Hospital, Attarkhel, Kathmandu, Nepal https://orcid.org/0000-0003-2960-0547 Ashish Prasad Rajbhandari Department of Surgery, Nepal Medical College and Teaching Hospital, Attarkhel, Kathmandu, Nepal https://orcid.org/0000-0002-3417-9745 Ramesh Dhakhwa Department of Pathology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, NepalAbstract: Desmoid tumors most commonly occur in the anterior abdominal wall in approximately 50% of cases and are locally aggressive. We describe a case of a 38-year-old lady who was investigated as a case of gastrointestinal tumor. Post-operative immunohistochemistry staining showed the presence of a synchronous desmoid in the abdominal wall and proximal ileum. Wide local excision remains the gold-standard of treatment with pharmacotherapeutics and radiotherapy serving as adjuvant or palliative treatment options.en-UScase reportdesmoidfibromatosisimmunohistochemistryArticle