Abstract
A 41-year-old man with no medical history presented with 2 weeks of nausea, vomiting, a new palpable abdominal mass, constipation and a 14kgweight loss. On admission, CT abdomen and pelvis demonstrated a 6.9×3.7 cm soft-tissue abdominal mass deep to and invading the lower anterior abdominal wall with tethering of the urinary bladder and potential involvement of the urachus. Subsequently, a biopsy demonstrated a low-grade spindle cell neoplasm compatible with inflammatory myofibroblastic tumour with immunostain positive for smooth muscle actin and desmin and negative for CD21, CD117, DOG-1, TKE-1, mdm2, CD34 and ALK. One week following admission, he underwent en bloc excision of the mass including abdominal wall (umbilicus, portions of rectus sheath and muscle), bladder dome, right colon and a segment of small bowel. Final pathology of the mass confirmed an inflammatory myofibroblastic tumour, and his postoperative course was uneventful.
References
Aug 1, 1995·The American Journal of Surgical Pathology·C M CoffinL P Dehner
Jun 20, 2001·Journal of Pediatric Surgery·I KarnakN Büyükpamukçu
Sep 1, 2005·Surgery Today·Itsuro NagaeTatsuya Aoki
Sep 13, 2006·Journal of Surgical Oncology·Stephen J KovachLeonidas G Koniaris
Apr 7, 2007·The American Journal of Surgical Pathology·Cheryl M CoffinChristopher D M Fletcher
Jun 26, 2007·The Annals of Thoracic Surgery·Hyun Joo LeeJhingook Kim
Oct 17, 2007·Journal of Clinical Pathology·B C Gleason, J L Hornick
Jan 17, 2013·World Journal of Gastroenterology : WJG·Yun-Lu TaoPing Wei
Apr 8, 2014·Case Reports in Gastroenterology·Roosmarijn L GroenveldJoost M Klaase
Oct 14, 2014·World Journal of Gastroenterology : WJG·Jun-Jie ZhaoXin-Yu Qin
Dec 2, 2014·International Journal of Surgery Case Reports·Ali Koyuncuer
Mar 11, 2015·European Journal of Pediatric Surgery Reports·Yeliz Çağan AppakErhun Kasırga
Nov 23, 2015·Pediatric Surgery International·Zuopeng WangShan Zheng
Apr 21, 2016·Journal of Medical Case Reports·Alexandra OeconomopoulouChristos Salakos