Inflammatory pseudotumor in childhood. A diagnostic and therapeutic dilemma

E. Freud, R. Bilik, I. Yaniv, G. Horev, D. Cohen, M. Mimouni and M. Zer
Department of Pediatric Surgery, Beilinson Medical Center, Sackler School of Medicine, Tel-Aviv University, Petah-Tiqva, Israel.

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.