Document Type : case report

Authors

1 Department of Pediatric Gastroenterology, Akbar children hospital, Mashhad University of medical sciences, Mashhad, Iran.

2 Clinical Research Development Unit of Akbar Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

3 Department of Gastroenterology,Faculty of medicine,Mashhad university of medical sciences,Mashhad,Iran

Abstract

Gastric inflammatory myofibroblastic tumor (IMT) is a rare tumor that is almost seen in children with a wide range of clinical features. However, radiologic imaging and gastro endoscopy can be helpful, but the confirmation of the IMT diagnosis is via a histopathologic gastric specimen evaluation. Here we present the 2nd case of IMT with the clinical manifestations of a gastric outlet obstruction (GOO) in an eleven month old infant. Surgical treatment should be considered for the treatment of IMT

Keywords

  1. Iqbal U, Khara HS, Hu Y, Kumar V, Tufail K, Confer B, Diehl DL, EUS-guided gastroenterostomy for the management of gastric outlet obstruction: a systematic review and meta-analysis. Endoscopic ultrasound, 2020. 9(1): p. 16.
  2. Hernanz-Schulman, M., Infantile hypertrophic pyloric stenosis. Radiology, 2003. 227(2): p. 319-331.
  3. Peters |B, Oomen MWN, Bakx R, Benninga MA, Advances in infantile hypertrophic pyloric stenosis. Expert review of gastroenterology & hepatology, 2014. 8(5): p. 533-541.
  4. Otjen JP, Iyer RS, Phillips GS, Parisi MT, Usual and unusual causes of pediatric gastric outlet obstruction. Pediatr Radiol, 2012. 42(6): p. 728-37.
  5. Cremin, B., Neonatal pre-pyloric membrane. South African Medical Journal, 1967. 41(41): p. 1076-1079.
  6. Wang Y, Shen L, Yun T, Zhu C, Wang P, Wang S, Clinicopathological features of gastric inflammatory myofibroblastic tumor: Report of five cases. Experimental and Therapeutic Medicine, 2021. 22(3): p. 1-7.
  7. Coffin, C.M., J.L. Hornick, and C.D. Fletcher, Inflammatory myofibroblastic tumor: comparison of clinicopathologic, histologic, and immunohistochemical features including ALK expression in atypical and aggressive cases. The American journal of surgical pathology, 2007. 31(4): p. 509-520.
  8. Dalton BGA, Thomas PG, Sharp NE, Manalang MA, Fisher JE, Moir CR, Peter SDS, Iqbal CW, Inflammatory myofibroblastic tumors in children. Journal of pediatric surgery, 2016. 51(4): p. 541-544.
  9. Mirshemirani A, Khaleghnejad Tabari A, Sadeghian N, Shariat-Torbaghan S, Pourafkari M, Mohajerzadeh L, Abdominal inflammatory myofibroblastic tumor: report on four cases and review of literature. Iranian Journal of Pediatrics, 2011. 21(4): p. 543.
  10. Lemale J, Boudjemaa S, Parmentier B, Pointe HDL, Coulomb A, Dainese L, A pseudotumoral lesion revealing Meckel's diverticulum. Archives de Pediatrie: Organe Officiel de la Societe Francaise de Pediatrie, 2016. 23(11): p. 1157-1160.
  11. Hirschburger M, Enders J, Alzen G, Padberg W, Wagner HJ, An inflammatory myofibroblastic tumor of the stomach as a rare cause of gastric outlet obstruction in an 8-month-old infant. Klin Padiatr, 2010. 222(3): p. 192-3.
  12. Albayrak F, Dursun H, Albayrak Y, Altas S, Uyanik A, Yildirim R, Inflammatory myofibroblastic tumor of the stomach in an adult woman: a rare intermittent cause of gastric outlet obstruction. Tumori, 2010. 96(3): p. 492-5.
  13. Hayashi M, Kawakubo H, Mayanagi S, Nakamura R, Suda K, Wada N, Kitagawa Y, Gastric inflammatory myofibroblastic tumor treated with combined laparoscopic and endoscopic gastric wedge resection: a case report. World Journal of Surgical Oncology, 2018. 16 (1): p. 1-5.