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Inflammatory pseudotumour of the colon.

Publication ,  Journal Article
Spyrou, I; Davakis, S; Moris, D; Lakiotaki, E; Dimitrokallis, N; Papalampros, A; Schizas, D; Pikoulis, E; Felekouras, E
Published in: Annals of the Royal College of Surgeons of England
May 2017

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.

Duke Scholars

Published In

Annals of the Royal College of Surgeons of England

DOI

EISSN

1478-7083

ISSN

0035-8843

Publication Date

May 2017

Volume

99

Issue

5

Start / End Page

e151 / e153

Related Subject Headings

  • Tomography, X-Ray Computed
  • Surgery
  • Radiography, Abdominal
  • Male
  • Humans
  • Granuloma, Plasma Cell
  • Colonic Neoplasms
  • Colon
  • Aged
  • Abdominal Pain
 

Citation

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Spyrou, I., Davakis, S., Moris, D., Lakiotaki, E., Dimitrokallis, N., Papalampros, A., … Felekouras, E. (2017). Inflammatory pseudotumour of the colon. Annals of the Royal College of Surgeons of England, 99(5), e151–e153. https://doi.org/10.1308/rcsann.2017.0064
Spyrou, I., S. Davakis, D. Moris, E. Lakiotaki, N. Dimitrokallis, A. Papalampros, D. Schizas, E. Pikoulis, and E. Felekouras. “Inflammatory pseudotumour of the colon.Annals of the Royal College of Surgeons of England 99, no. 5 (May 2017): e151–53. https://doi.org/10.1308/rcsann.2017.0064.
Spyrou I, Davakis S, Moris D, Lakiotaki E, Dimitrokallis N, Papalampros A, et al. Inflammatory pseudotumour of the colon. Annals of the Royal College of Surgeons of England. 2017 May;99(5):e151–3.
Spyrou, I., et al. “Inflammatory pseudotumour of the colon.Annals of the Royal College of Surgeons of England, vol. 99, no. 5, May 2017, pp. e151–53. Epmc, doi:10.1308/rcsann.2017.0064.
Spyrou I, Davakis S, Moris D, Lakiotaki E, Dimitrokallis N, Papalampros A, Schizas D, Pikoulis E, Felekouras E. Inflammatory pseudotumour of the colon. Annals of the Royal College of Surgeons of England. 2017 May;99(5):e151–e153.

Published In

Annals of the Royal College of Surgeons of England

DOI

EISSN

1478-7083

ISSN

0035-8843

Publication Date

May 2017

Volume

99

Issue

5

Start / End Page

e151 / e153

Related Subject Headings

  • Tomography, X-Ray Computed
  • Surgery
  • Radiography, Abdominal
  • Male
  • Humans
  • Granuloma, Plasma Cell
  • Colonic Neoplasms
  • Colon
  • Aged
  • Abdominal Pain