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Mesenteric inflammatory pseudotumor: A difficult diagnosis. Case report
Vítor Neves Lopes1, César Alvarez1, M Jesus Dantas2
1Department of Surgery, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal.
International Journal of Surgery Case Reports
|February 16, 2017
Summary
Inflammatory pseudotumor (IP) is a rare benign neoplasm that can present as an asymptomatic abdominal mass. Complete surgical resection offers a cure, but close follow-up is recommended due to potential recurrence.
Area of Science:
- Gastroenterology and Surgical Oncology
Background:
- Inflammatory pseudotumor (IP) is an uncommon benign neoplasm with varied presentations.
- Mesenteric IP is rare, particularly in adults, and can be asymptomatic.
- Established follow-up protocols for IP are lacking.
Purpose of the Study:
- To highlight the diagnostic challenges and management of inflammatory pseudotumor in the mesentery.
- To emphasize the importance of considering IP in the differential diagnosis of abdominal masses.
Main Methods:
- A case of a 57-year-old asymptomatic male with a mesenteric mass is presented.
- Preoperative imaging suggested gastrointestinal stromal tumor.
- The mass was completely resected surgically, and histology confirmed IP.
Main Results:
- Histological examination confirmed inflammatory pseudotumor as the diagnosis.
- The patient remained recurrence-free during a four-year follow-up period.
- Complete surgical resection was curative in this case.
Conclusions:
- Preoperative diagnosis of IP can be challenging due to its variable presentation.
- IP should be considered in the differential diagnosis of abdominal masses in asymptomatic adults.
- While complete excision is curative, close patient follow-up is advisable due to frequent recurrence.
