Abstract
Aim-background
An inflammatory pseudotumour is an uncommon lesion originally described in the respiratory tract. It is currently established that it can occur in a variety of locations, including the pancreas. The aetiology is still not defined. Histological features include inflammatory and other mesenchymal cells without signs of malignancy.
Case
The authors report a case of an inflammatory pseudotumour arising from the head of the pancreas in a 74-year-old male patient. Due to local extension of the tumour, a resection of the tumour was not performed. The patient underwent a double diversion with a hepaticojejunal anastomosis and gastroileal bypass. A strict 4-year follow-up period did not reveal any signs of malignancy or local invasion.
Conclusion
Inflammatory pseudotumour of the pancreas is a rare tumour that is very difficult to diagnose preoperatively. Surgical resection is the first option, in order to obtain histological confirmation of an IMT (inflammatory myofibroblastic tumour) and to resolve the symptoms.
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Baraket, O., Karray, O., Ayed, K. et al. An inflammatory pseudotumour of the head of the pancreas - A rare pancreatic tumour. Hellenic J Surg 88, 139–142 (2016). https://doi.org/10.1007/s13126-016-0305-y
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DOI: https://doi.org/10.1007/s13126-016-0305-y