Mesenteric inflammatory pseudotumor: unusual presentation with leukemoid reaction and massive calcified mass.
The authors describe a child with an unusual presentation of mesenteric inflammatory pseudotumor in association with leukemoid reaction. An 11-year-old-boy admitted with short stature was found to have an abdominal mass localized in the right lower quadrant. The leukocyte count was 92,000/mm3 with neutrophilic leukemoid reaction. Abdominal ultrasonography and computed tomography revealed a massive calcified mass in the pelvis. Total resection of the mass was performed and the pathologic diagnosis of inflammatory pseudotumor of the mesentery was made. Leukemoid reaction dramatically resolved within a few days after surgical resection. Physicians should be aware of the association of inflammatory pseudotumor, leukemoid reaction, and massive calcification.
Kutluk
Tezer
T
Department of Pediatric Oncology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Emir
Suna
S
Karnak
Ibrahim
I
Gağlar
Melda
M
Büyükpamukçu
Münevver
M
D000008:Abdominal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D002648:Child; D004392:Dwarfism / Q000209:etiology; D006104:Granuloma, Plasma Cell / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D007955:Leukemoid Reaction / Q000209:etiology*; D008099:Liver / Q000473:pathology; D008198:Lymph Nodes / Q000473:pathology; D008297:Male; D008643:Mesentery / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D009852:Omentum / Q000473:pathology; D014057:Tomography, X-Ray Computed