Inflammatory myofibroblastic tumor causing ileoileal intussusception: an unusual cause of an unusual neoplasm in an adult, with a clinicopathological review of the literature.

Autor: Ambiru, Satoshi, Nakamura, Shunta, Itabashi, Terumi, Furuya, Seiji, Kuwahara, Takeichiro, Tsuchiya, Shouichi, Hattori, Yuji, Suzuki, Hideaki, Tanaka, Hiroaki, Yamagata, Shingo, Takanashi, Hideki, Shimura, Takenori, Miyazaki, Masaru
Zdroj: Clinical Journal of Gastroenterology; Jun2009, Vol. 2 Issue 3, p194-198, 5p
Abstrakt: An inflammatory myofibroblastic tumor (IMT) of the ileum is a very rare lesion of the gastrointestinal tract. A 36-year-old female presented with abdominal fullness and colicky pain of 5 days' duration. Plain abdominal radiography showed an intestinal obstruction with dilated jejunal loops. Abdominal computed tomography and ultrasonography demonstrated a well-defined intraluminal solid mass surrounded by the typical mural layers of an invaginated ileum. The patient then underwent an exploratory laparotomy under a clinical diagnosis of intussusception caused by a small bowel tumor. The surgical findings revealed a large mass leading to an ileoileal intussusception, with regional lymph node enlargement and a small bowel resection accompanied by lymph node dissection was performed. The definitive diagnosis of IMT was confirmed by both conventional histopathology and minute immunohistochemistry. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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