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Research Article Open access CC BY 4.0

Inflammatory Myofibroblastic Tumor Mimicking Gastric Duplication Cyst: A Dilemma in Clinical and Radiological Diagnosis

Girish D. Bakhshi, Manish S. Hande, Sumit Boricha, Amit Thombare, Chandrakant Sabale, Urvashi Jain, Sakshi Jain, Sangameshwar Kore

Asian Journal of Case Reports in Surgery · pp. 367–372 · Published 15 Jul 2024

10.9734/ajcrs/2024/v7i2551

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.

Gastric duplication cyst IMT tumor

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