Inflammatory pseudotumour of the colon

DOI Web Site 被引用文献1件
  • I Spyrou
    National and Kapodistrian University of Athens, Greece
  • S Davakis
    National and Kapodistrian University of Athens, Greece
  • D Moris
    National and Kapodistrian University of Athens, Greece
  • E Lakiotaki
    National and Kapodistrian University of Athens, Greece
  • N Dimitrokallis
    National and Kapodistrian University of Athens, Greece
  • A Papalampros
    National and Kapodistrian University of Athens, Greece
  • D Schizas
    National and Kapodistrian University of Athens, Greece
  • E Pikoulis
    National and Kapodistrian University of Athens, Greece
  • E Felekouras
    National and Kapodistrian University of Athens, Greece

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<jats:sec><jats:title>Introduction</jats:title><jats:p> A colorectal inflammatory myofibroblastic tumour (IMT) is a rare but benign entity masquerading as a malignant tumour. Although the lung is considered the most common site of occurrence, IMTs may arise in diverse extrapulmonary locations. We describe a case of a colonic IMT in a patient who presented in the emergency setting. </jats:p></jats:sec><jats:sec><jats:title>Case History</jats:title><jats:p> A 77-year-old man was admitted at our emergency department with acute abdominal pain. Physical examination revealed vague tenderness of the lower abdomen and non-palpable masses. Preoperative evaluation revealed a mass in the right lower quadrant of the abdomen, possibly originating from the terminal ileum, 1–2cm from the caecum. Owing to the clinical impression of a potentially malignant lesion, the patient underwent subtotal colectomy and omentectomy. The pathology report suggested the morphological and immunohistochemical features were more compatible with a colonic IMT. </jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p> A colorectal IMT is a rare clinical entity that can easily mimic a highly malignant tumour and cannot be distinguished clinically or radiologically. An accurate diagnosis is based on histological examination and surgical resection is therefore usually required. </jats:p></jats:sec>

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