[Show abstract] [Hide abstract]
ABSTRACT: An inflammatory myofibroblastic tumor (IMT) of the ileum is a very rare lesion of the gastrointestinal tract. A 36-year-old
female presented with abdominal fullness and colicky pain of 5days' duration. Plain abdominal radiography showed an intestinal
obstruction with dilated jejunal loops. Abdominal computed tomography and ultrasonography demonstrated a well-defined intraluminal
solid mass surrounded by the typical mural layers of an invaginated ileum. The patient then underwent an exploratory laparotomy
under a clinical diagnosis of intussusception caused by a small bowel tumor. The surgical findings revealed a large mass leading
to an ileoileal intussusception, with regional lymph node enlargement and a small bowel resection accompanied by lymph node
dissection was performed. The definitive diagnosis of IMT was confirmed by both conventional histopathology and minute immunohistochemistry.
Clinical Journal of Gastroenterology 2(3):194-198.