Roque-Ramos Lídia, Matos António P, Pinto-Marques Pedro, Machado Gabriela, Nogueira Joana, Ramalho Miguel
Gastroenterology Department, Hospital Garcia de Orta. Portugal, PORTUGAL.
Hospital Garcia de Orta. Portugal.
Rev Esp Enferm Dig. 2016 Jan;108(1):43-7.
We report a case of a 50-year-old woman who presented to the emergency department with large bowel obstruction and anemia. The initial imaging study suggested an inoperable rectal tumor with involvement of surrounding structures. In this paper we discuss the diagnostic work-up of this patient with a diagnosis of pelvic/perirectal inflammatory myofibroblastic tumor (IMT). IMT is a rare tumor with intermediate malignant potential that frequently mimics clinical and imaging features of malignancy. Additionally, to the best of our knowledge, this is the first case of a pelvic IMT that regressed without surgical excision.
我们报告了一例50岁女性患者，她因大肠梗阻和贫血就诊于急诊科。初始影像学检查提示为不可切除的直肠肿瘤，周围结构受累。在本文中，我们讨论了该患者的诊断检查过程，其诊断为盆腔/直肠周围炎性肌纤维母细胞瘤（IMT）。IMT是一种罕见肿瘤，具有中等恶性潜能，常模仿恶性肿瘤的临床和影像学特征。此外，据我们所知，这是第一例未经手术切除而消退的盆腔IMT病例。
