Melena as presentation of primary small intestine inflammatory myofibroblastic tumor in an adult woman. A case report


COD: 2403_29_07_2015_ep Categorie: ,

Rossana Alloni, Gianluca Ancona, Ida Gallo, Anna Crescenzi, Roberto Coppola

Ann. Ital. Chir.Published online (EP) 29 July 2015

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INTRODUCTION: Inflammatory myofibroblastic tumor (IMT), also known as inflammatory pseudotumor, plasma cell gran-uloma or inflammatory myofibroblastoma, is characterized histopathologically by myofibroblastic spindle cells with inflam-matory cell infiltrates ( plasma cell, lymphocytes and eosinophils). Inflammatory myofibroblastic tumor is tipically seenin children or young adults and is most commonly localized in the lung, but it can occur anywhere in the body.
CASEREPORT: We present a case in a young woman with severe acute G.I. bleeding, an uncommon presentation of IMTin adults. The patient was admitted to the emergency department for melena. MRI showed a distal jejunum hypervascular mass. Other exams were negative. Surgical excision was recommended, sothe patient underwent surgery with complete removal of the tumoral mass. No adjuvant therapy was employed and thepatient is asymptomatic after 6 months of follow-up.
DISCUSSION:IMT is an rare lesion that mimics malignancy and is accompanied by various clinical manifestations. Thetreatment of choice is believed to be complete surgical excision and long term follow up.