The ileocolic region is the most common site of intussusception. It occurs mostly in children but can also occur in adults. Ileal tumors and polyps can cause ileocolic intussusception. Inflammatory fibroid polyp (IFP) is one of the rarest benign tumors of the gastrointestinal tract. The most common sites of IFP are the stomach, ileum, colon, duodenum, and esophagus. Small IFPs can be managed endoscopically but larger IFPs and those with complications such as intussusception require surgical resection. We report a case of ileal IFP presenting with small bowel obstruction due to ileocolic intussusception. The patient was successfully treated by surgical excision. The diagnosis of IFP was made based on a histopathological examination of the resected specimen.
Clinical practice frequently involves the discovery of perineal lesions. The human papillomavirus, molluscum contagiosum, and herpes simplex virus are to blame for the majority of these anogenital lesions. In the majority of cases, these lesions may be identified by their distinctive appearance. It is challenging to make a clinical diagnosis in immunocompromised people since these lesions might be large and have uncommon appearances. Verrucous perianal herpes is a rare type of herpes that resembles squamous cell carcinoma in gross appearance. We present a case of a 71-year-old man on azathioprine, an immunosuppressive drug for autoimmune pancreatitis, who developed a perianal lesion resembling squamous cell carcinoma. Excisional biopsy revealed a benign ulcerative lesion with herpetic inclusions. The patient received antiviral treatment, and the perianal wound completely healed. He developed a similar lesion in the perineum at one year follow up, which was successfully treated with oral and topical antivirals.
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