A Large Inflammatory Fibroid Polyp in the Sigmoid Colon Treated by Endoscopic Resection

Park, Yong Bum; Cheung, Dae Young; Kim, Sang Hyun; Park, Soo‐Heon; Cho, Se-Hyun; Han, Ji-Hye; Kim, Jae Kwang; Choi, Kyu Yong

doi:10.2169/internalmedicine.46.0081

Cited by 11 publications

(5 citation statements)

References 14 publications

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“…If the polyp is pedunculated, easily accessible, and can be removed with minimal risk of hemorrhage, then it is preferable to remove it [ 2 ]. Filiform polyposis alone is not an indication for surgical resection; however, complications, such as acute massive hemorrhage or intestinal obstruction, may necessitate surgical intervention [ 16 ]. When patients with inflammatory polyposis require surgical management, it is important to evaluate the margins of resection, because inflammatory polyposis can recur in the presence of acute inflammation or residual disease at the resected margins [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Diffuse filiform polyposis of the small intestine without inflammatory bowel disease

et al. 2014

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Filiform polyposis is a rare disease, which typically occurs in patients with inflammatory bowel disease. We report a case of filiform polyposis occurring in a 56-year-old man with no history or evidence of inflammatory bowel disease. The patient’s main symptoms were melena and anemia. We performed an emergency exploratory laparotomy, in which we observed worm-like polyps spread almost along the entire small intestine, and a partial resection of the small intestine to treat bleeding in the bowel was carried out. Two days later, the patient was noted to have melena again, and we performed an abdominal angiographic embolization, successfully stopping the bleeding. Histologic evaluation of the excised specimen revealed chronic inflammatory cells within the lamina propria without hyperplastic or adenomatous epithelial changes. Although the surgery was very successful, careful management of the patient was required, owing to the great risk of re-bleeding.

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Section: Discussionmentioning

confidence: 99%

Diffuse filiform polyposis of the small intestine without inflammatory bowel disease

et al. 2014

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“…The clinical presentation of colonic IFPs includes abdominal pain (54%), bloody stools (33%), weight loss (21%), diarrhea and anemia (17%) [16]. Large colonic IFPs may cause various complications including intestinal obstruction and intussusception [11]. In conclusion, this is the first reported case of IFP of the rectum presenting with lymph node enlargement and attachment to sacrum mimicking rectal cancer with sacral invasion and lymph node metastasis.…”

Section: Discussionmentioning

confidence: 99%

“…Although no specific symptom can be associated with colorectal IFP, anal bleeding and abdominal pain are the most common symptoms [2,3]. Surgical intervention is usually required for most symptomatic IFPs because of their large size and submucosal involvement [11]. We herein report a very rare case of rectal IFP attached to the sacrum and mimicking rectal cancer with sacral invasion and regional lymph node metastases on computed tomography (CT) scans.…”

Section: Introductionmentioning

confidence: 95%

Inflammatory fibroid polyp of rectum mimicking rectal cancer

Jin

Yeh

et al. 2013

The Kaohsiung J of Med Scie

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Inflammatory fibroid polyps (IFPs) are rare benign tumors of the rectum. Mutation and activating platelet-derived growth factor receptor alpha (PDGFRA) contribute to tumor development. We present a case of IFPs in the middle rectum that mimic rectal cancer. A 65-year-old woman presented with the symptom of fresh blood in the stool and body weight loss of 6 kg in the preceding 3 weeks. A rectal polypoid tumor was noted upon digital examination. Sigmoidoscopy showed a middle rectal tumor measuring 3 × 2.7 cm with obstruction. Computed tomography (CT) scans of the abdomen showed a rectal tumor that had invaded the sacral bone and was associated with four enlarged lymph nodes greater than 1 cm. The radiological report suggested a diagnosis of rectal cancer with lymph node metastases. To remove the obstruction, the patient was initially treated with excision of the tumor and loop sigmoidal colostomy to the abdomen wall. Total mesorectal resection of rectal and sacral tumor followed 10 days later. Histopathological examination of the rectal and sacral tumor showed proliferation of vessels, fibroblast-like spindle cells, and mixed inflammatory cells, including the plasma cells and eosinophils. The spindle cells were diffusely positive to PDGFRA and were focal positive to CD34 and smooth muscle actin. Based on histopathological and immunohistochemical findings, the diagnosis of IFP is indicated. This was the first reported case of IFPs of the rectum presenting with lymph node enlargement and attachment to the sacrum mimicking rectal cancer.

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“…The IFP was first described by Vanek, in 1949, as a "gastric submucosal granuloma with eosinophilic infiltration" [1][2][3][4][5][6][7][8][9][10][11] . It is a rare type of mesenchymal gastrointestinal tract lesion that occurs as localized polyps mainly in the gastric antrum, and not so often in the small intestine, colon and esophagus, in decreasing order 3 .…”

Section: Discussionmentioning

confidence: 99%

Giant ileal inflammatory fibroid polyp: a rare cause of intestinal intussusception

Ogata¹,

Neto²,

Sezerino³

et al. 2012

J. Coloproctol. (Rio J.)

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A Large Inflammatory Fibroid Polyp in the Sigmoid Colon Treated by Endoscopic Resection

Abstract: Abstract

Cited by 11 publications

References 14 publications

Diffuse filiform polyposis of the small intestine without inflammatory bowel disease

Diffuse filiform polyposis of the small intestine without inflammatory bowel disease

Inflammatory fibroid polyp of rectum mimicking rectal cancer

Giant ileal inflammatory fibroid polyp: a rare cause of intestinal intussusception

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