He Guohou, Luo Yonghan, Wang Yanchun, Bai Qiang
Department of General Surgery, Kunming Children's Hospital, Kunming, China.
Second Department of Infectious Diseases, Kunming Children's Hospital, Kunming, China.
Front Pediatr. 2025 Apr 8;13:1569750. doi: 10.3389/fped.2025.1569750. eCollection 2025.
Inflammatory myofibroblastic tumor (IMT) is a rare mesenchymal tumor that can occur in multiple organs. This case report presented an unusual instance of ileocecal IMT in a child complicated by secondary intussusception. A 2-year-6-month-old male was admitted with abdominal pain and fever for 15 days, progressing to currant jelly stools for 2 days. Physical examination revealed a right abdominal mass, and emergency laparotomy confirmed ileocolic intussusception with a firm mass in the ileocecal region. Pathological examination confirmed the diagnosis of IMT. IMT as a secondary cause in pediatric ileocecal intussusception is rare when encountering an atypical intussusception with a suspect lead-point, IMT should be considered.
炎性肌纤维母细胞瘤（IMT）是一种可发生于多个器官的罕见间叶组织肿瘤。本病例报告呈现了1例儿童回盲部IMT的罕见情况，该病例并发继发性肠套叠。一名2岁6个月大的男性因腹痛和发热15天入院，随后出现果酱样大便2天。体格检查发现右腹部肿块，急诊剖腹探查证实为回结肠型肠套叠，回盲部有一质硬肿块。病理检查确诊为IMT。IMT作为小儿回盲部肠套叠的次要病因较为罕见，当遇到非典型肠套叠且有可疑引导点时，应考虑IMT。
