Klin Padiatr 2010; 222(3): 192-193
DOI: 10.1055/s-0029-1238320
Pictorial Essay

© Georg Thieme Verlag KG Stuttgart · New York

An Inflammatory Myofibroblastic Tumor of the Stomach as a Rare Cause of Gastric Outlet Obstruction in an 8-Month-Old Infant

Ein inflammatorischer Pseudotumor als seltene Ursache einer Magenausgangsstenose bei einem 8 Monate alten SäuglingM. Hirschburger1 , J. Enders2 , G. Alzen3 , W. Padberg1 , H.-J. Wagner4
  • 1University Hospital, Department of General, Thoracic- and Pediatric Surgery, Giessen, Germany
  • 2University Hospital, Department of General Pediatrics, Giessen, Germany
  • 3University Childrens Hospital, Pediatric Radiology, Giessen, Germany
  • 4University Childrens Hospital, Department of Pediatric Hematology and Oncology, Giessen, Germany
Further Information

Publication History

Publication Date:
31 May 2010 (online)

Abstract

Inflammatory myofibroblastic tumors (IMT) are a rare entity. Localization in the stomach is extremely seldom and almost exclusively seen in children. Invasive growth of IMT may lead to irresectability or recurrence. In an 8-month-old girl presented with repetitive vomiting for several days. Complete surgical resection of a gastric IMT was possible.

Zusammenfassung

Inflammatorische myofibroblastäre Tumoren (IMT) des Magens werden fast ausschließlich bei Kindern gesehen. Infolge invasiven Wachstums kann es zu nicht-resektablen Tumoren bzw. schwierig zu behandelnden Rezidiven kommen. Bei einem 8 Monate alten Mädchen mit Erbrechen und Raumforderung am Magenausgang war eine Billroth-I-Resektion mit partieller Omentektomie kurativ.

References

  • 1 Brecht IB, Graf N, Schweinitz D von. et al . Networking for children and adolescents with very rare tumors: Foundation of the GPOH Pediatric Rare Tumor GroupKlin Padiatr. 2009;  221 181-185
  • 2 Cho MY, Min YK, Kim NR. et al . Fever of unknown origin as a presentation of gastric inflammatory myofibroblastic tumor in a two-year-old boy.  J Korean Med Sci. 2002;  17 699-703
  • 3 Coffin CM, Dehner LP, Meis-Kindblom JM. Inflammmatory myofibroblastic tumor, inflammatory fibrosarcoma, and related lesions: An historical review with differential diagnostic considerations.  Semin Diagn Pathol. 1998;  15 102-110
  • 4 Dehner LP. The enigmatic inflammatory pseudotumors: The current state of our understanding, or misunderstanding.  J Pathol. 2000;  192 277-279
  • 5 Lazure T, Ferlicot S, Gauthier F. et al . Gastric inflammatory myofibroblastic tumors in children: An unpredictable course.  J Pediatr Gastroenterol Nutr. 2002;  34 319-322
  • 6 Park SH, Kim JH, Min BW. et al . Exophytic inflammatory myofibroblastic tumor of the stomach in an adult woman: A rare cause of hemoperitoneum.  World J Gastroenterol. 2008;  7 136-139
  • 7 Pettinato G, Manivel C, De Rosa N. et al . Inflammatory myofibroblastic tumor (plasma cell granuloma). Clinicopathologic study of 20 cases with immunohistochemical and ultrastructural observations.  Am J Clin Pathol. 1990;  94 538-546
  • 8 Popova ED, Popov SD. Inflammatory pseudotumor of the stomach in a 12-year-old child.  Arkh Patol. 2005;  67 46-47

Correspondence

PD Dr. Hans-Joachim Wagner

Department of Pediatric

Hematology and Oncology

Feulgenstraße 12

35385 Giessen

Germany

Phone: 49/641/99 43420

Fax: 49/641/99 43429

Email: hans-joachim.wagner@paediat.med.uni-giessen.de

    >