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Lower Extremity Pain after Treatment for Inflammatory Myofibroblastic Tumor

Zachary S Berlant*, Rebecca F Carlin

Inflammatory myofibroblastic tumors (IMTs) are a rare sarcoma affecting primarily children and young adults. IMTs have the capacity to spread to additional organs, requiring resection, and the treatment may predispose patients to future complications. In this case, a 19-year-old female with a history of IMT requiring extensive abdominal resection presents with severe bilateral hip, knee, and foot pain. She is found to have Subacute Combined Degeneration (SCD) due to deficiencies in all three known vitamin and mineral deficiencies that lead to SCD-Vitamin B12, vitamin E and copper. This is the first case report of a patient with a history of IMT, experiencing SCD. The case will help improve recognition of nutritional deficiencies and optimize care for patients with tumors that have required abdominal organ resection as part of their surgical treatment.