Inflammatory pseudotumor of the colon causing intussusception: a case report and literature review.

Abstract

Inflammatory pseudotumor (IPT) is a rare space-occupying lesion of unknown etiology that can mimic malignancy on clinic-radiological and pathological examination. We describe a rare case of ileocecal intussusception from clinically suspected malignancy of the right colon where the patient underwent right hemicolectomy. Histopathology of the resected specimen confirmed IPT of the colon. This patient was observed to have abnormally elevated total leukocyte count and platelets before and after surgery. In an adult with intussusception associated with an abdominal mass, the possibility of IPT of the colon should be considered. Considering the abnormally high total leukocyte and platelet counts and colonic IPT, it is necessary to prevent postoperative adverse effects due to these changes. Although IPT of the colon is usually a benign process, controversy regarding its management still exists. We consider hemicolectomy as a safe treatment approach for colonic IPT and review the existing literature.

• Authors: Yong Huang, Le-Ping Li, Jing Wang, Zeng-Jun Lun, Wei Li, Zhen Yang
• Journal: World journal of gastroenterology (World J Gastroenterol) Vol. 21 Issue 2 Pg. 704-10 (Jan 14 2015) ISSN: 2219-2840 [Electronic] United States
• PMID: 25593502 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Adult
• Biopsy
• Colectomy
• Colonic Diseases (complications, diagnosis, surgery)
• Colonic Neoplasms (diagnosis)
• Diagnosis, Differential
• Granuloma, Plasma Cell (complications, diagnosis, surgery)
• Humans
• Ileal Diseases (diagnosis, etiology, surgery)
• Ileocecal Valve (diagnostic imaging, surgery)
• Immunohistochemistry
• Intussusception (diagnosis, etiology, surgery)
• Male
• Predictive Value of Tests
• Tomography, X-Ray Computed
• Treatment Outcome
• Ultrasonography