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Inflammatory pseudotumor causing intestinal obstruction: diagnostic and therapeutic aspects
A O Ciftci1, Z Akçören, F C Tanyel
1Department of Pediatric Surgery, Hacettepe University Medical Faculty, Ankara, Turkey.
Journal of Pediatric Surgery
|December 30, 1998
Summary
Inflammatory pseudotumor (IPT) can cause intestinal obstruction in children. Early consideration of this rare condition aids diagnosis and prevents unnecessary treatments, with surgical excision being the primary therapy.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Pathology
Background:
- Inflammatory pseudotumor (IPT) is a rare condition with diverse clinical presentations.
- Mesenteric IPT can mimic other abdominal mass lesions, complicating diagnosis in pediatric patients.
Observation:
- A 9-year-old boy presented with intestinal obstruction due to an unusual inflammatory pseudotumor.
- Clinical and laboratory findings, including tumor markers and imaging, were non-specific for differentiating mesenteric IPT.
Findings:
- Diagnosis of mesenteric IPT relies heavily on clinical suspicion in children with abdominal masses and obstruction.
- Histopathologic examination is crucial for definitive diagnosis after surgical intervention.
Implications:
- Prompt recognition of IPT can prevent aggressive surgical interventions and harmful therapies.
- Complete surgical excision is the mainstay of treatment for pediatric mesenteric inflammatory pseudotumor.