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Lower abdominal inflammatory myofibroblastic tumor - an unusual presentation - a case report and brief literature review

Lookup NU author(s): Andrew Barrett


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A 9-year-old girl presented with lethargy, malaise & chest pain. Her blood counts confirmed hypochromic microcytic anemia. She was prescribed iron supplements. Subsequently she was admitted to our hospital with fever and increasing chest and abdominal pain. She was treated with antibiotics, and a diagnosis of "early chest infection" was made. Over the following 2 weeks she failed to improve, and her anemia worsened. She was readmitted, and found to have a mass in her lower abdomen with pressure symptoms on her bowel and bladder. A white-cell scan showed increased uptake in right lower quadrant. An ultrasound and a CT scan confirmed a mass adjacent to her bladder. Needle biopsy showed it to be an unusual localization of an inflammatory myofibroblastic tumor (IMT) of cecum. A presentation with chest pain, fever, anemia and pressure symptoms was highly unusual of a lower abdominal IMT mass. She had a successful excision of the tumor, with resolution of her symptoms.

Publication metadata

Author(s): Saleem MI, Ben-Hamida MA, Barrett AM, Bunn SK, Huntley L, Wood KM, Yelbuz TM

Publication type: Review

Publication status: Published

Journal: European Journal of Pediatrics

Year: 2007

Volume: 166

Issue: 7

Pages: 679-683

ISSN (print): 0340-6199

ISSN (electronic): 1432-1076


DOI: 10.1007/s00431-006-0305-y