A Case of Xanthogranulomatous Inflammation of the Cecum.

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  • 黄色肉芽腫性炎に起因した盲腸隆起性病変の１例

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Abstract

A case of a submucosal tumor like elevated lesion of the cecum due to xanthogranulomatous inflammation, that is the first case report to our knowledge, is described. A 52-year-old woman was admitted to the hospital because of an ileocecal tumor. Colonoscopy and a contrast enema revealed a submucosal tumor like elevated lesion of the cecum. Ileocecal resection was performed, since a possibility of malignancy could not be ruled out. During surgery, the vermiform appendix and greater omentum were adherent to the cecum, and consequently a firm tumor was formed. Histologically, xanthogranulomatous inflammation was present mainly in the adherent portion and spreaded to the submucosa beyond the muscularis propria of the cecum. Xanthogranulomatous inflammation might cause a submucosal tumor like elevated lesion of the cecum. Although it is rare, the disease must be added to possible differential diagnoses for ileocecal tumors.

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