Inflammatory myofibroblastic tumors of the mesentery

Last revised by Mohammad Taghi Niknejad on 2 Jan 2024

Inflammatory myofibroblastic tumors (IMTs) of the mesentery are rare benign neoplasms and a location-specific type of inflammatory myofibroblastic tumors. Mesentery is one of the most common locations for extrapulmonary IMTs 1.

IMTs of mesentery are rare spindle cell neoplasms and are more frequent in children and young adults 1.

Several etiological factors have been suggested for mesenteric IMTs, such as previous surgery or trauma, chronic infections and autoimmune diseases 2,3.

IMTs of mesentery often present with abdominal mass and the compressive effect of the tumor, such as pain and vomiting. They may also associated with a general inflammatory response like fever and weight loss.

CT is the primary radiological modality for the diagnosis of mesenteric IMTs. On post-contrast CT images, IMTs usually show solid masses with ill- or well-defined margins and heterogeneous enhancement patterns that may suggest a malignant lesion 4.

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