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A Diagnostic and Therapeutic Dilemma

Enrique Freud, MD; Ron Bilik, MD, MS; Isaac Yaniv, MD; Gadi Horev, MD; David Cohen, MD; Marc Mimouni, MD; Michael Zer, MD

Arch Surg. 1991;126(5):653-655.

Abstract
• We describe a case of inflammatory pseudotumor of the lower abdomen in a young child. The urinary bladder and abdominal wall were involved, and the pseudotumor simulated a malignant sarcomatous tumor. Surgical excision was undertaken, and the outcome was favorable. This rare tumor simulates a true neoplasm both clinically and morphologically and presents a diagnostic and therapeutic dilemma. Our case and a review of the literature indicate that an effort should be made to perform a radical excision. This is considered the treatment of choice except if It requires a mutilating procedure.

(Arch Surg. 1991;126:653-655)

Author Affiliations
From the Departments of Pediatric Surgery (Drs Freud, Bilik, and Zer), Pediatric Hematology-Oncology (Dr Yaniv), Pediatric Radiology (Dr Horev), Pathology (Dr Cohen), and Pediatrics (Dr Mimouni), Beilinson Medical Center, Sackler School of Medicine, Tel-Aviv University, Petah-Tiqva, Israel.

Footnotes
Accepted for publication July 22, 1990.

Reprint requests to the Department of Pediatric Surgery, Beilinson Medical Center, Petah-Tiqva, 49100, Israel (Dr Freud).

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