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Ann R Coll Surg Engl ; 99(5): e151-e153, 2017 May.
Article in English | MEDLINE | ID: mdl-28462661

ABSTRACT

Introduction A colorectal inflammatory myofibroblastic tumour (IMT) is a rare but benign entity masquerading as a malignant tumour. Although the lung is considered the most common site of occurrence, IMTs may arise in diverse extrapulmonary locations. We describe a case of a colonic IMT in a patient who presented in the emergency setting. Case History A 77-year-old man was admitted at our emergency department with acute abdominal pain. Physical examination revealed vague tenderness of the lower abdomen and non-palpable masses. Preoperative evaluation revealed a mass in the right lower quadrant of the abdomen, possibly originating from the terminal ileum, 1-2cm from the caecum. Owing to the clinical impression of a potentially malignant lesion, the patient underwent subtotal colectomy and omentectomy. The pathology report suggested the morphological and immunohistochemical features were more compatible with a colonic IMT. Conclusions A colorectal IMT is a rare clinical entity that can easily mimic a highly malignant tumour and cannot be distinguished clinically or radiologically. An accurate diagnosis is based on histological examination and surgical resection is therefore usually required.


Subject(s)
Colon , Colonic Neoplasms , Granuloma, Plasma Cell , Abdominal Pain , Aged , Colon/diagnostic imaging , Colon/pathology , Colon/surgery , Colonic Neoplasms/diagnostic imaging , Colonic Neoplasms/pathology , Colonic Neoplasms/surgery , Granuloma, Plasma Cell/diagnostic imaging , Granuloma, Plasma Cell/pathology , Granuloma, Plasma Cell/surgery , Humans , Male , Radiography, Abdominal , Tomography, X-Ray Computed
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