Inflammatory Myofibroblastic Tumor Mimicking Gastric Duplication Cyst: A Dilemma in Clinical and Radiological Diagnosis
Girish D. Bakhshi
Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, India.
Manish S. Hande *
Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, India.
Sumit Boricha
Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, India.
Amit Thombare
Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, India.
Chandrakant Sabale
Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, India.
Urvashi Jain
Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, India.
Sakshi Jain
Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, India.
Sangameshwar Kore
Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, India.
*Author to whom correspondence should be addressed.
Abstract
A gastric duplication cyst is a rare congenital malformation of the foregut but inflammatory myofibroblastic tumor (IMT) is a more rare diagnosis. These are mostly asymptomatic and diagnosed incidentally on imaging done for some other cause. It is very difficult to differentiate between these two conditions based on clinical and radiological studies done preoperatively. Endoscopic Ultrasound with Fine Needle Aspiration (EUS-FNA) allows us to correctly diagnose these conditions. However, EUS-FNA carries a high risk of iatrogenic rupture of these lesions with significant infective potential. We present a case of IMT presenting as a Gastric duplication cyst with a brief review of the literature.
Keywords: Gastric duplication cyst, IMT, tumor