Abstract
Desmoid tumors are uncommon benign tumors with locally aggressive behavior. Even with aggressive resection with or without radiotherapy, the relapse rate is relatively high. Surgical resection can be challenging especially in large size tumors, as the resultant post-operative wide wall defect can lead to cosmetically undesirable bulging and functional loss. The use of Ultrasound may be useful to aid in radical resection of the desmoid tumor with adequate margins. In our 30-year-old patient with recurrent abdominal wall desmoid tumor, intra-operative ultrasound was utilized in successful resection of the tumor followed by a minimal but adequate margin. The patient has recovered well and within the 6 months follow-up period and has not reported any functional limitations or recurrence.