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.