Inflammatory fibroid polyp of the ileum with the appearance of a borrmann type II lesion, caused by colostomy irrigation: Report of a case

Abstract

Inflammatory fibroid polyps (IFPs) are rarely found in the gastrointestinal tract. The majority of IFPs are sessile-pedunculated or pedunculated polypoid lesions, whereas a polyp presenting like a Borrmann type II lesion is extremely unusual. This report describes the case of a 74-year-old man with a history of intussusception, in whom a preoperative diagnosis of a cecal tumor of the ileocecal valve was made. A laparotomy subsequently revealed a lesion similar to a Borrmann type II tumor located 15 cm above the ileocecal valve, but not at the valve. The lesion was diagnosed as an IFP which had been caused by repeated colostomy irrigation. The aim of the present report is to draw attention to this entity, which should be included in the differential diagnosis of intussusception and small bowel obstruction.

A Rare Cause of Colonic Obstruction: Inflammatory Fibroid Polyp

“…Invaginations are more common in adults than small bowel colon invaginations [2]. Invagination is a condition that develops against anatomical obstacles in the direction of intestinal peristalsis [5]. Ileocecal (colic) invagination was detected in our patient.…”

“…IFPs are one of the rarest causes of invagination in adults. IFPs were first reported in 1949 as "gastric submucosal granuloma with eosinophilic infiltration" [5]. Although many different definitions were used for the lesion over the years, the definition of IFP began to be used in 1953 [2].…”

Inflammatory Fibroid Polyp of the Small Intestine: A Case Report and Systematic Literature Review

“…9-13, 16, 19, 21-23, 25, 26, 29, 30, 32, 34-38, 40-43, 45-49, 53-55].Regarding diagnostic methods, CT was frequently used as the primary diagnostic method (26%)[9, 10, 12, 13, 15-17, 23, 24, 27, 28, 30, 35, 48, 49, 51, 53] followed by exploratory laparotomy(16,9%) [14,29,39,46,47,54], endoscopy (7,8%)[22,31,38,56,58,61] and US (6.5%)…”