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Inflammatory myofibroblastic tumor.

Sangeeta Sawant1, L Kasturi, Alpa Amin

  • 1Department of Pediatrics, BARCH Hospital, Anushaktinagar, Mumbai, India.

Indian Journal of Pediatrics
|December 31, 2002
PubMed
Summary
This summary is machine-generated.

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A rare intra-abdominal inflammatory myofibroblastic tumor (IMT) in a child presented as prolonged fever and weight loss. Surgical removal of the mesenteric mass led to complete recovery, highlighting IMT as a treatable cause of pyrexia of unknown origin.

Area of Science:

  • Oncology
  • Pediatric Surgery
  • Pathology

Background:

  • Inflammatory myofibroblastic tumors (IMTs) are uncommon neoplasms with a predilection for the respiratory tract in pediatric populations.
  • Intra-abdominal IMTs are less frequent, typically involving the liver, spleen, stomach, or bowel.

Observation:

  • A 13-year-old female presented with a three-month history of intermittent fever and significant weight loss, initially diagnosed as pyrexia of unknown origin.
  • Laparotomy revealed a mesenteric mass adherent to the ileum, approximately four feet from the iliocaecal junction.

Findings:

  • Histopathological examination confirmed the mass as an inflammatory myofibroblastic tumor.
  • Complete surgical excision of the mesenteric IMT was performed.

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Implications:

  • The patient experienced complete resolution of fever and weight gain post-operatively, remaining well for ten months.
  • This case underscores the importance of considering intra-abdominal IMTs in the differential diagnosis of unexplained fever and weight loss in children.
  • Early diagnosis and surgical management of mesenteric IMTs can lead to favorable outcomes in pediatric patients.