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01.12.2011 | Case report | Ausgabe 1/2011 Open Access

Journal of Medical Case Reports 1/2011

Inflammatory myofibroblastic tumor causing unexplained anemia in a toddler: a case report

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2011
Autoren:
Mohammad Salameh, Iyad Sultan, Maha Barbar, Maysa Al Hussaini, Abdullah Jameel, Khalil Ghandour, Ma'in Masarweh
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-5-69) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

MS was a major contributor in writing the manuscript. IS was the oncologist who took care of the child during his diagnosis and treatment. MB was the gastroenterologist who performed the endoscopy. MAH was the pathologist who reviewed the pathology specimen. AJ was the radiologist involved in the radiologic diagnostic tests. KG was the surgeon who performed the surgical procedure. IS, MB, MAH, AJ and KG also reviewed and contributed to the writing of the manuscript. MM was the surgeon who performed the surgery and was a major contributor in writing the manuscript. All authors read and approved the final manuscript.

Abstract

Introduction

Inflammatory myofibroblastic tumor is a very rare benign tumor in children that mimics malignant tumors in its aggressiveness locally and by the possibility of recurrence after surgical resection, and causing anemia of chronic disease, which is a decrease in hemoglobin 1 to 2 g/dL below normal level in a patient with chronic illness.

Case presentation

A 32-month-old boy from Libya presented with microcytic hypochromic anemia. He had been treated in three countries and five centers without response to medical therapy. He was investigated at our center and found to have a mass in the colon causing intermittent intussusception and bleeding. He was treated surgically, and his condition improved dramatically. The pathology report proved a diagnosis of inflammatory myofibroblastic tumor.

Conclusion

We report a case of an unusual tumor of the gastrointestinal tract causing chronic anemia not responding to medical treatment, and discuss the characteristics of inflammatory myofibroblastic tumor. In our case, we stress the involvement of a multidisciplinary team in treating such a patient who presents with common symptoms and signs but in whom there has been no response to any of the measures and treatment protocols.

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