Rectal Inflammatory Fibroid Polyp Resected with Endoscopic Submucosal Dissection

Shimura, Takaya; Kataoka, Hiromi; Sasaki, Makoto; Kubota, Eiji; Shiraki, Shigehiro; Matsusako, Kei; Nakayama, Yoshihide; Mizoshita, Tsutomu; Mizushima, Takashi; Joh, Takashi

doi:10.2169/internalmedicine.47.1357

Cited by 7 publications

(8 citation statements)

References 13 publications

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“…Most IFPs are smaller than 5 cm, 12,13 but the size of present gastric IFP is up to 11 cm. The most common site is gastric antrum, followed by the small bowel, other locations such as rectum, 14 colon, 15 esophagus and duodenum 12 in the previous literature, but very rare at the upper part of the stomach.…”

Section: Discussionmentioning

confidence: 94%

“… 16 Some authors considered submucosal dissection as useful for treatment of small submucosal tumor, usually by endoscopy. 14,17–19 However, if the tumor is large or malignant lesion can’t be excluded, laparoscopic assisted or conventional open surgery should be considered. After complete resection, inflammatory fibroid polyps usually do not recur and metastasize, making any other adjunct therapies unnecessary.…”

Section: Discussionmentioning

confidence: 99%

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Massive gastrointestinal bleeding caused by a giant gastric inflammatory fibroid polyp: A case report

Zhang

Cui

Xing

et al. 2014

International Journal of Surgery Case Reports

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INTRODUCTIONInflammatory fibroid polyps (IFPs) are rare and small benign lesions throughout the digestive tract. The most common location is gastric antrum, but rarely at the upper part. Clinical manifestations of IFPs usually include intestinal obstruction, intussusception, abdominal pain, nausea and vomiting, but rare massive digestive tract hemorrhage.PRESENTATION OF CASEWe describe a rare case presenting with massive gastrointestinal bleeding due to a huge gastric fundus IFP (11 cm). Finally, the patient was treated successfully by the laparoscopic assisted partial gastrectomy (LAPG) and recovered uneventfully. To our knowledge, this is the first reported case presenting with massive alimentary tract hemorrhage due to giant gastric fundus IFP.DISCUSSIONGiant IFP rarely originates in the gastric fundus, but occasionally results in serious consequence, such as massive gastrointestinal bleeding. It is important to recognize IFP because it responds favorably to operation with no relapse or metastasis.CONCLUSIONIn the differential diagnosis of alimentary hemorrhage of uncertain etiology, gastric IFP should be considered. For huge gastric IFP, laparoscopic therapy is an apt choice.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Massive gastrointestinal bleeding caused by a giant gastric inflammatory fibroid polyp: A case report

Zhang

Cui

Xing

et al. 2014

International Journal of Surgery Case Reports

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“…It can be pedinculated or sessile. It is very rare in childhood and was detected in the rectum in only two previous case reports, one in a 66-year old man and the other in a 8-year old boy (12,13) . The case included in the present series is the third one.…”

Section: Discussionmentioning

confidence: 99%

A clinical experience on pediatric colorectal polyps

Durakbaşa¹,

Çağlar²,

Fettahoğlu³

et al. 2012

J.GOZTEPETRH

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Background: Colorectal polyps are among the common causes for rectal bleeding in children. They rarely have malignant potential. This study aims to present a clinical experience on colorectal polyps with an emphasis on utility of colonoscopy in these children. Methods: File records of patients treated between the years 2001-2011 were retrospectively evaluated in terms of age, sex, diagnostic methods, localization of polyps and pathological results. Results: There were 63 patients with a mean age of 6 years (1-15 years). Among these, 38 (60 %) were males and 25 (40 %) females. The presenting complaint was rectal bleeding in 60, prolapsed polyps in 2 and prolapsed rectum in one. The use of colonoscopy was initiated within the last 9-month of the study period. The polyps were removed by transanal route in 54. Colonoscopy was done with successful removal in all except one for the remaining 9 and yielded polyps in rectum in 4, in sigmoid colon in 3, in transverse colon in one and multiple polyps in one. Histopathology results were available in 62 and consistent with juvenile polyps in 51, hamartamatous in 2, hyperplastic in 2, pseudopolyps in 4, lymphoid in 2 and inflammatory fibroid in one. Conclusions: Although many rectal polyps are palpated and can be removed by anorectal route in children, the incidence of nonpalpable rectal polyps and colonic polyps should not be underestimated. The polyps are benign in most children. Colonoscopic examination increases the diagnostic accuracy and adds to the treatment keeping the possible presence of premalignant conditions in these children. Routine colonoscopic examination should be offered for all children with suspected or proven polyps.

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“…The case presented illustrates how that endoscopic biopsies along with pathologic examination can be used to clinch diagnosis. Currently, an IFP is considered to be entirely benign has no malignant potential and metastasis is yet to be reported 1 .The small incidental lesions can be excised 4 . However, some complications can develop due to the sheer size of the tumour (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…They are most commonly located in the stomach and small intestine when they occur along the gastrointestinal tract (GIT). Though large bowel lesions have been described for virtually every region, the ano-rectum appears to be the only rarely involved 4,5 . The case presented here documents, for perhaps the first time, one such rectal IFP in a Nigerian.…”

Section: Introductionmentioning

confidence: 99%

Rectal inflammatory fibroid polyp in a Nigerian: case report & brief review of literature

Oluyemi¹,

Nicholas

2016

Afr H. Sci.

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Background: Inflammatory fibroid polyps are very unusual gastrointestinal tumours. Furthermore, their occurrence in the rectum is a rarity indeed. Objective: To document this very rare pathologic entity in a patient from our region of Africa and highlight some pertinent clinical and pathologic aspects of the disease. Case report: We present a 59 year old Nigerian who had neither significant previous medical history nor current complaint and had a routine colonoscopy done. The finding in the rectum was of a small polypoidal mass which was excised whole and whose histopathologic findings were consistent with a diagnosis of inflammatory fibroid polyp. Conclusion: A unique case of rectal inflammatory fibroid polyp in a Nigerian is hereby presented. This, to the best of our knowledge, is the first such documented case from our region of the world. Hence, the entity should be considered in the differential diagnosis of colonic polyps from the continent.

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Rectal Inflammatory Fibroid Polyp Resected with Endoscopic Submucosal Dissection

Cited by 7 publications

References 13 publications

Massive gastrointestinal bleeding caused by a giant gastric inflammatory fibroid polyp: A case report

Massive gastrointestinal bleeding caused by a giant gastric inflammatory fibroid polyp: A case report

A clinical experience on pediatric colorectal polyps

Rectal inflammatory fibroid polyp in a Nigerian: case report & brief review of literature

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