Abstract

An 11-year-old boy presented with symptoms of periappendiceal abscess. At laparotomy, a tumor-like mass involving the ileocecal mesentery and adjacent part of the cecum and covered by the omentum was found. A right hemicolectomy was performed, followed by primary ileocolic anastomosis. On histologic examination, the tumor-like mass proved to be a lymph node block pushing the adjacent wall of the cecum. The overall histologic and immunophenotypic findings were consistent with ( a) abnormal immune lesion mimicking lymphomatous process because of infection by Epstein-Barr virus and ( b) extensive acute inflammatory infiltration of the cecum and adjacent tissues.

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