Mesenteric inflammatory myofibroblastic tumor mimicking acute appendicitis: A case report

Ann Med Surg (Lond). 2022 Aug 18:81:104456. doi: 10.1016/j.amsu.2022.104456. eCollection 2022 Sep.

Abstract

Introduction: An Inflammatory myofibroblastic tumor, a neoplasm of intermediate biological potential, of the small bowel mesentery, is a rare tumor, most commonly reported in but not confined to the pediatric age group.

Case presentation: This case report underlines a case of a (small bowel) mesentery IMT in an adult female presenting with recurrent symptoms similar to acute appendicitis.

Discussion: It can present with symptoms similar to acute appendicitis necessitating a high index of suspicion for its prompt diagnosis. Treatment primarily includes surgical resection with recent advances in targeted therapy with tyrosine kinase inhibitors showing promising results.

Conclusion: IMTs can present as clinical as well as histopathological mimickers of a variety of diseases especially in the abdomen. Prompt diagnosis requires both imaging and histopathological examination.

Keywords: Appendicitis; Inflammatory myofibroblastic tumor (IMT); Mesentery.

Publication types

  • Case Reports