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Multifocal omental mesenteric inflammatory pseudotumor (plasma cell granuloma)
U Koltuksuz1, M H Gürsoy, M Mutus
1Department of Pediatric Surgery, Turgut Ozal Medical Center at the University of Inönü School of Medicine, Malatya, Turkey.
Summary
A multifocal inflammatory pseudotumor (IP), a rare benign childhood tumor, was observed in a 14-year-old girl. This case suggests a potential link between IP and Entamoeba histolytica infestation.
Area of Science:
- Pediatric Oncology
- Parasitology
- Pathology
Background:
- Inflammatory pseudotumor (IP) is a rare, benign neoplastic proliferation.
- While commonly found in the lungs, extrapulmonary IPs can occur, typically as solitary masses.
- Extrapulmonary IPs have been documented in the liver and abdomen.
Observation:
- A unique case of multifocal inflammatory pseudotumor is presented in a 14-year-old female patient.
- The patient's condition was presumed to be a consequence of Entamoeba histolytica infestation.
- This presentation challenges the typical solitary nature of previously reported extrapulmonary IPs.
Findings:
- The study details a rare instance of multifocal IP in a pediatric patient.
- Evidence suggests a potential association between Entamoeba histolytica infection and the development of IP.
- This multifocal presentation is distinct from solitary masses usually seen in extrapulmonary IPs.
Implications:
- This case expands the understanding of inflammatory pseudotumor presentation in children.
- It highlights the importance of considering parasitic infections like Entamoeba histolytica in the differential diagnosis of pediatric abdominal masses.
- Further research may elucidate the pathogenic mechanisms linking parasitic infestation to IP development.