Inflammatory pseudotumor of the colon causing intussusception: A case report and literature review

Inflammatory pseudotumor(IPT) is a rare spaceoccupying lesion of unknown etiology that can mimic malignancy on clinic-radiological and pathological examination. We describe a rare case of ileocecal intussusception from clinically suspected malignancy of the right colon where the patient underwent ri...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2015-01, Vol.21 (2), p.704-710
Main Authors: Huang, Yong, Li, Le-Ping, Wang, Jing, Lun, Zeng-Jun, Li, Wei, Yang, Zhen
Format: Article
Language:English
Subjects:
Adult
Biopsy
Case Report
Colectomy
Colonic Diseases - complications
Colonic Diseases - diagnosis
Colonic Diseases - surgery
Colonic Neoplasms - diagnosis
Diagnosis, Differential
Granuloma, Plasma Cell - complications
Granuloma, Plasma Cell - diagnosis
Granuloma, Plasma Cell - surgery
Humans
Ileal Diseases - diagnosis
Ileal Diseases - etiology
Ileal Diseases - surgery
Ileocecal Valve - diagnostic imaging
Ileocecal Valve - surgery
Immunohistochemistry
Inflammatory
Intussusception - diagnosis
Intussusception - etiology
Intussusception - surgery
Male
Predictive Value of Tests
pseudotumor
Intussusception
Colon
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography
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Description
Summary:Inflammatory pseudotumor(IPT) is a rare spaceoccupying lesion of unknown etiology that can mimic malignancy on clinic-radiological and pathological examination. We describe a rare case of ileocecal intussusception from clinically suspected malignancy of the right colon where the patient underwent righthemicolectomy. Histopathology of the resected specimen confirmed IPT of the colon. This patient was observed to have abnormally elevated total leukocyte count and platelets before and after surgery. In an adult with intussusception associated with an abdominal mass, the possibility of IPT of the colon should be considered. Considering the abnormally high total leukocyte and platelet counts and colonic IPT, it is necessary to prevent postoperative adverse effects due to these changes. Although IPT of the colon is usually a benign process, controversy regarding its management still exists. We consider hemicolectomy as a safe treatment approach for colonic IPT and review the existing literature.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v21.i2.704