Inflammatory Myofibroblastic Tumor of Gut in Child: Case Report with Review

Singhal M and Goyal S

Published on: 2021-04-28


Benign intestinal tumors are uncommon in children. An inflammatory myofibroblastic tumor (IMT) also called inflammatory pseudo tumor, is a benign spindle cell neoplasm masquerading as a malignant tumor with low malignant potential.  Aetiology is unclear, although some authors suggest underlying trauma or distress result in reactive phenomenon. We describe an inflammatory myofibroblastic tumor (IMT) of the jejunum in an 8-year-old boy who presented with intestinal obstruction. During laparotomy, an annular mass around the jejunum was resected. A histological diagnosis of IMT was made as pathology examination revealed densely arranged bundles of spindle cells with diffuse infiltration of inflammatory cells and tumor involvement of the mucosa and serosa. A literature review for this rare entity emphasizes the importance of its benign nature. As it may be locally malignant and local recurrence can occur, these cases should have a long-term follow-up.