Giant ileal inflammatory fibroid polyp causing small bowel obstruction: a case report and review of the literature

Mohamud, Sagal O.; Motorwala, Shahina A; Daniel, A.; Tworek, Joseph A.; Shehab, Thomas M.

doi:10.1186/1757-1626-1-341

Cited by 21 publications

(26 citation statements)

References 7 publications

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“…7 Most other case reports document only solitary IFPs, including solitary giant IFPs. 8 Recurrence of multiple polyps has not been encountered up to now. We report a rare case of a young female patient who underwent three laparotomies for recurrent intestinal obstruction due to multiple IFPs.…”

Section: Discussionmentioning

confidence: 99%

A rare case of multiple inflammatory fibroid polypsin a young woman with family history of inflammatory fibroid polyps

Balsara¹

2014

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Section: Discussionmentioning

confidence: 99%

A rare case of multiple inflammatory fibroid polypsin a young woman with family history of inflammatory fibroid polyps

Balsara¹

2014

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“…The occurrence of IFPs in the small bowel is rare, accounting for only 18% of all cases, and it is less frequent in the ileum, where these polyps rarely cause intussusceptions [4]. Recent review of cases of ileo-ileal intussusceptions caused by IFPs published in English, found only eight cases [7].…”

Section: Discussionmentioning

confidence: 99%

“…The aetiology remains unknown, but it could be a consequence of chronic irritation and inflammation or a consequence of extreme reaction of the body to an intestinal trauma. Histologically, they arise from the submucosa and are characterized by vascular and fibroblast proliferations and an inflammatory response, dominated by eosinophils [7,8].…”

Section: Discussionmentioning

confidence: 99%

Ileo-ileal Intussusception in an Adult Caused by Vanek’s Tumour: A Rare Case Report

Teli¹,

2013

JCDR

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A 45-year-old lady presented with colicky abdominal pain, distension, vomiting and constipation, which she had since 3 days. There was no history of similar complaints in the past. She had undergone a tubectomy 17 years back. On examination, she was found to be comfortable but she was dehydrated. Her pulse rate was 94 beats per minute, with a blood pressure of 124/70mmHg. Abdominal examination revealed abdominal distension and tubectomy scar. Abdomen was soft, nontender, there was no palpable mass and there was hyperperistalsis. Digital rectal examination did not show the presence of faeces, or blood. Laboratory investigation showed neutrophilic leucocytosis, blood urea-50mg/dl, serum creatinine-0.8mg/dl. Serum electrolytes were within normal limits. A provisional diagnosis of an intestinal obstruction, probably caused by adhesion, was made. Patient was started on anti-biotics, intravenous fluids, and nasogastric decompression. Erect X-ray of abdomen revealed multiple air-fluid filled dilated small bowel loops. Abdominal ultraonography (USG) showed dilated bowel loops. A contrast enhanced computed tomography (CECT) scan [Table/ Fig-1] demonstrated an ileo-ileal intussusception with dilated proximal small bowel loops.Laparotomy revealed an ileo-ileal intussusception [Table/ Fig-2] with a dilated proximal small intestine. It was situated 50 cm proximal to the ileocecal valve. Intussusception was reduced and polyp was noted as lead point of intussusceptum [Table/ Fig-3]. There was no evidence of any other polyps in the rest of the small bowel. We performed a segmental small bowel resection with extracorporeal end-to-end anastomosis. Post-operative specimen [Table/ Fig-4] showed a firm, circumscribed, endoluminal 2x2.5cm polyp. Postoperative course was uneventful.On microscopic examination [Table/ Fig-5], the surface of the polypoid lesion was found to be covered by ulcerated mucosa, proliferating blood vessels, oedema and an eosinophilic infiltrate in a fibrous stroma. Foci of necrosis were noted. Features were those of an inflammatory fibroid polyp (also called as Vanek's tumour). DisCussionAdult intussusception occurs in only 1% of patients suffering from small bowel obstruction and 80% of such conditions are caused by benign tumours. [1,2]. This disease was first described to occur in the stomach by Vanek in 1949 [3]. Recently, a very interesting review of the literature on IFPs was published [4], which included 1000 cases of IFP, in which the characteristic of this disorder, the diagnostic and therapeutic strategies and microscopy have been described carefully. Only 5% of all intussusceptions occur in adults [5]. In 90% of adult cases, predisposing lesions can be found, but in the paediatric population, organic lesions are found in only 10% of the cases. In 63% of cases of small bowel intussusceptions, benign underlying lesions can be found, whereas in 58% of cases of large bowel intussusceptions, a malignant aetiology has to be expected [5].Vanek's tumour is a rare, benign, non-encapsulated lesion, composed ma...

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“…Patients with small bowel inflammatory polyps are typically asymptomatic until the onset of complications such as small bowel obstruction due to intussusception or bleeding 3,6. Most case reports of inflammatory polyps are complicated cases with intussusceptions or bleeding that were diagnosed and treated by surgical resection 1,2,4,5,7…”

Section: Discussionmentioning

confidence: 99%

A Case of Giant Inflammatory Ileal Polyp Removed by Double-Balloon Enteroscopy

et al. 2012

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Inflammatory fibroid polyps are rare benign tumors of the GI tract, that commonly present with intestinal obstruction as a result of intussusceptions in the small bowel. A 39-year old man visited our clinic with an asymptomatic polypoid mass in the distal ileum that was identified on abdominal computed tomography for postoperative surveillance after total gastrectomy due to previously diagnosed early gastric cancer. Retrograde double-balloon enteroscopy was performed to diagnose the ileal mass and a complete resection of the polyp was performed using snare for polypectomy without complications. The final histological finding was an ileal inflammatory polyp. Balloon-assisted enteroscopy is a valuable modality to diagnose and treat small bowel lesions in lieu of surgical procedures in selected cases.

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Giant ileal inflammatory fibroid polyp causing small bowel obstruction: a case report and review of the literature

Cited by 21 publications

References 7 publications

A rare case of multiple inflammatory fibroid polypsin a young woman with family history of inflammatory fibroid polyps

A rare case of multiple inflammatory fibroid polypsin a young woman with family history of inflammatory fibroid polyps

Ileo-ileal Intussusception in an Adult Caused by Vanek’s Tumour: A Rare Case Report

A Case of Giant Inflammatory Ileal Polyp Removed by Double-Balloon Enteroscopy

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