Inflammatory myofibroblastic tumor presenting as ileocolic intussusception: A case report

Clin Case Rep. 2023 Oct 23;11(10):e8064. doi: 10.1002/ccr3.8064. eCollection 2023 Oct.

Abstract

Key clinical message: The report urges considering rare neoplastic tumor, like IMT, in intussusception cases and underscores the vital role of comprehensive and swift diagnosis in influencing treatment choices and patient results.

Abstract: We present a case of a 36-year-old male who presented with abdominal pain and vomiting. Inflammatory markers were elevated in routine investigations, while other laboratory parameters were within normal limits. Ultrasound imaging revealed a target lesion, which required further evaluation with a CT scan and confirmed ileocolic intussusception. An exploratory laparotomy showed a solid lesion measuring 5 by 6 cm in the cecum, along with evidence of ileocolic intussusception. A standard right hemicolectomy was performed, and the postoperative course was uneventful. Histopathological examination showed an inflammatory myofibroblastic tumor with nodular hyperplasia. The report highlighted the importance of assessing rare neoplastic causes in patients with intussusception.

Keywords: abdominal pain; hemicolectomy; inflammatory myofibroblastic tumor; intussusception; spindle cell proliferation; vomiting.

Publication types

  • Case Reports