Giant inflammatory fibroid polyp of ileum causing intussusception: a case report

Abstract

Inflammatory fibroid polyps are rare, localized, non-neoplastic lesions originating in the submucosa of the gastrointestinal tract. Intussusception due to inflammatory fibroid polyps is uncommon; moreover, ileo-ileal intussusception has only rarely been reported. Here, we report an 11 × 7 cm giant inflammatory fibroid polyp of the small bowel that presented as intussusception in a 73-year-old woman. Ultrasonography demonstrated a solid, homogeneous, echogenic mass surrounded by the typical mural layers of an invaginated ileum. The immunohistopathological diagnosis after segmental ileal resection was an ileal inflammatory fibroid polyp. Although encountered rarely in adults, physicians should be aware of invagination and consider it in each case of acute abdomen because of the wide spectrum of clinical settings.

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

“…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…”

A rare ileal tumor causing anemia and intussusception: Inflammatory fibroid polyp

“…Clinical findings may vary according to the location and size of the polyp. Abdominal pain, nausea, and vomiting are the most common findings (2). Some cases may develop bleeding and, rarely, related anemia.…”

Ileocolic intussusception due to a gastrointestinal stromal tumor

“…To the Editor, Intussusception, defined as the invagination of a part of the gastrointestinal tract into an adjacent part, is extremely rare in the stomach; the small bowel, ileocecal junction and colon are more commonly involved (1)(2)(3). Intussusception is uncommon in adults compared to the pediatric population.…”