IJU Case Reports (May 2024)

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

  • Jurii Karibe,
  • Jun‐ichi Teranishi,
  • Takashi Kawahara,
  • Takeaki Noguchi,
  • Teppei Takeshima,
  • Kimito Osaka,
  • Eita Kumagai,
  • Tomoe Sawazumi,
  • Satoshi Fujii,
  • Hiroji Uemura

DOI
https://doi.org/10.1002/iju5.12701
Journal volume & issue
Vol. 7, no. 3
pp. 206 – 209

Abstract

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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.

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