A diagnostically challenging case of inflammatory myofibroblastic tumor primary to the peritoneum

IJU Case Rep. 2024 Feb 14;7(3):206-209. doi: 10.1002/iju5.12701. eCollection 2024 May.

Abstract

Introduction: Inflammatory myofibroblastic tumors are difficult to diagnose because of the lack of specific indicators. We describe a diagnostically challenging case of an inflammatory myofibroblastic tumor primary to the peritoneum.

Case presentation: The patient was a 25-year-old male who presented at our hospital with lower abdominal pain. Computed tomography revealed a mass lesion 80 mm in diameter just above the bladder. This was suspected to be a bleeding tumor of the urachus. Since malignancy could not be ruled out, surgery was planned. This revealed a fragile tumor arising from the peritoneum. Following its removal, the tumor was diagnosed by histopathological analysis as an inflammatory myofibroblastic tumor.

Conclusion: We describe a case of inflammatory myofibroblastic tumor primary to the peritoneum diagnosed by histopathology. Inflammatory myofibroblastic tumor should be considered in the differential diagnosis of abdominal wall and anterior bladder tumors.

Keywords: abdominal wall; anaplastic lymphoma kinase; histopathological analysis; inflammatory myofibroblastic tumor; peritoneum.

Publication types

  • Case Reports