Inflammatory pseudotumor of the colon

Area of Science:

• Gastroenterology
• Pathology
• Oncology

Background:

• Inflammatory pseudotumor (IPT) is a benign lesion characterized by spindle cell proliferation and inflammatory infiltrates.
• While commonly found in the lung and orbit, IPT can arise in various anatomical locations.
• Abdominal manifestations of IPT are infrequent, making diagnosis challenging.

Observation:

• A 21-year-old male presented with acute abdominal pain.
• Diagnostic imaging revealed a colonic mass.
• Surgical resection was performed for definitive diagnosis and treatment.

Findings:

• Histopathological examination confirmed the diagnosis of inflammatory pseudotumor of the colon.
• The lesion exhibited characteristic features of spindle cell proliferation with significant inflammatory cell infiltration.
• No evidence of malignancy was found, consistent with a benign neoplastic process.

Implications:

• This case underscores the importance of considering inflammatory pseudotumor in the differential diagnosis of colonic masses, even in young patients.
• Early recognition and appropriate management are crucial to prevent complications associated with colonic lesions.
• Further research into the etiology and optimal treatment strategies for rare IPT presentations is warranted.