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Inflammatory pseudotumor of the retroperitoneum in a child

B Gignoux1, J Chappuis, P Carlioz

  • 1Hôpital Edouard Herriot, Chirurgie Pédiatrique, Place d'Arsonval, F-69437 Lyon Cédex 03, France.

Insights

A rare inflammatory pseudotumor in a child presented with ureter and iliac vein involvement. Surgical resection successfully treated the initial tumor and a subsequent local recurrence.

Area of Science:

  • Pediatric Surgery
  • Oncology
  • Vascular Surgery

Background:

  • Inflammatory pseudotumor is a rare, benign neoplastic proliferation.
  • It can occur in various organs, affecting children and young adults.
  • Retroperitoneal location is uncommon, especially with vascular involvement.

Observation:

  • A 12-year-old boy presented with a retroperitoneal mass.
  • The lesion involved the left ureter and caused left iliac vein thrombosis.
  • The patient underwent surgical resection for the tumor.

Findings:

  • Histopathological examination confirmed inflammatory pseudotumor.
  • A local recurrence was detected 6 months post-surgery.
  • Repeat surgical intervention successfully eradicated the recurrent tumor.

Implications:

  • This case highlights the importance of considering inflammatory pseudotumor in pediatric retroperitoneal masses.
  • Complete surgical resection is crucial for managing this condition.
  • Vigilant follow-up is necessary to detect and treat potential recurrences.

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