Citation, DOI, disclosures and article data
Citation:
Niknejad M, Inflammatory myofibroblastic tumors of the mesentery. Reference article, Radiopaedia.org (Accessed on 04 Dec 2024) https://doi.org/10.53347/rID-181190
Inflammatory myofibroblastic tumors (IMTs) of the mesentery are rare benign neoplasms and a location-specific type of inflammatory myofibroblastic tumors. Mesentery is one of the most common locations for extrapulmonary IMTs 1.
IMTs of mesentery are rare spindle cell neoplasms and are more frequent in children and young adults 1.
Etiology
Several etiological factors have been suggested for mesenteric IMTs, such as previous surgery or trauma, chronic infections and autoimmune diseases 2,3.
IMTs of mesentery often present with abdominal mass and the compressive effect of the tumor, such as pain and vomiting. They may also associated with a general inflammatory response like fever and weight loss.
CT
CT is the primary radiological modality for the diagnosis of mesenteric IMTs. On post-contrast CT images, IMTs usually show solid masses with ill- or well-defined margins and heterogeneous enhancement patterns that may suggest a malignant lesion 4.
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1. Contreras De Miguel E, Gallardo Muñoz I, Espejo Pérez S, Seguí Azpilcueta P. [Unusual Location of an Inflammatory Myofibroblastic Tumor: A Case Report]. Radiologia (Roma). 2010;52(5):473-6. doi:10.1016/j.rx.2010.04.002 - Pubmed
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2. Hirose Y, Kaida H, Kurata S, Okabe Y, Kage M, Ishibashi M. Incidental Detection of Rare Mesenteric Inflammatory Pseudotumor by (18)F-FDG PET. Hell J Nucl Med. 2012;15(3):247-50. doi:10.1967/s002449910060 - Pubmed
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3. Patnana M, Sevrukov A, Elsayes K, Viswanathan C, Lubner M, Menias C. Inflammatory Pseudotumor: The Great Mimicker. AJR Am J Roentgenol. 2012;198(3):W217-27. doi:10.2214/AJR.11.7288 - Pubmed
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4. Choi A, Bohn O, Beddow T, McHenry C. Inflammatory Myofibroblastic Tumor of the Small Bowel Mesentery: An Unusual Cause of Abdominal Pain and Uveitis. J Gastrointest Surg. 2011;15(4):584-8. doi:10.1007/s11605-010-1408-3 - Pubmed
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