Myofibroblastic Inflammatory Bowel Tumor: Unusual location, Case Report

Gharbi, Khalid; Lkousse, Mohammed Amine; Atmani, Jamal; Ismail, Y; Elfarouki, Abdeltif; Errami, Adil Ait; Oubaha, Sofia; Samlani, Z; Krati, K.

doi:10.11648/j.ijcems.20200602.12

Cited by 1 publication

(8 citation statements)

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“…The presenting features of IPTs are usually non-specific and mostly depend on the anatomical site and mass characteristics [13] , [14] , [15] . As seen in our case, abdominal pain with or without a palpable abdominal mass is a common symptom of IPTs in intra-abdominal locations [6] , [7] , [8] . A diagnosis of acute appendicitis was initially considered in our patient due to the patient's age and presentation.…”

Section: Discussionsupporting

confidence: 72%

“…IPTs of the colon are rare entities of uncertain aetiology and pathogenesis [6] , [7] , [8] . Evidence suggests that the pathology may be preceded by trauma, surgery, infection (viral, e.g.…”

Section: Discussionmentioning

confidence: 99%

“…On ultrasonography, they may appear hyper- or hypoechoic, well- or ill-defined, with or without septations and usually have increased doppler signals [2] , [3] , [4] , [8] . This variability is also true for computed tomography (CT), in which they may vary in terms of attenuation, homogeneity, filling, and definition, depending on the degree of necrosis, fibrosis and infiltration [2] , [3] , [4] , [6] , [8] , [9] . These features may mimic haematological or metastatic lesions, making them indistinguishable on radiological assessment alone [4] , [5] , [6] , [9] .…”

Section: Discussionmentioning

confidence: 99%

“…They have been described predominantly in the lungs to date; however, they may occur in any anatomical location, mostly in children and young adults [2] , [3] , [4] . Alimentary tract IPTs were first described in the stomach; however, they remain exceedingly rare, particularly in the colon, where their aetiology remains unclear [2] , [3] , [6] . IPTs are radiologically indistinguishable from malignant lesions, which can result in unnecessary oncological resections [6] .…”

Section: Introductionmentioning

confidence: 99%

“…Alimentary tract IPTs were first described in the stomach; however, they remain exceedingly rare, particularly in the colon, where their aetiology remains unclear [2] , [3] , [6] . IPTs are radiologically indistinguishable from malignant lesions, which can result in unnecessary oncological resections [6] . We report the case of a young South African man with an IPT of the colon that mimicked acute appendicitis on clinical presentation and a neoplastic lesion on macroscopic examination.…”

Section: Introductionmentioning

confidence: 99%

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Inflammatory pseudo-tumour of the colon mimicking acute appendicitis: A case report

Zulu

Krüger

Morare

et al. 2022

International Journal of Surgery Case Reports

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Introduction Inflammatory pseudo-tumour (IPT) of the colon is a rare entity with an obscure pathophysiology and largely indeterminate aetiology. Presentation of case A young male patient presented with an Alvarado score of 9/10 and was admitted for appendectomy. An irregular hepatic flexure mass was discovered intraoperatively. The patient underwent an oncological right hemicolectomy with lymphadenectomy under the supposition that it was malignant and recovered with no short or long-term repercussions. Haemoxylin and eosin staining of the mass revealed features of a benign IPT. Discussion IPTs have clinical and radiological features that may be indistinguishable from those of malignancies, often resulting in extensive oncological resections despite recurrence and malignant transformation being negligibly rare. Conclusion Benign pathologies such as IPT that mimic malignancy can sometimes result in extensive investigations or radical resections, the justification of which can only be a point of contention in retrospect. The following report explores our experience with one such patient and is accompanied by a review of the literature.

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