A case of inflammatory fibroid polyp causing small-bowel intussusception in which retrograde double-balloon enteroscopy was useful for the preoperative diagnosis

Endoscopy. 2004 Apr;36(4):344-7. doi: 10.1055/s-2004-814305.


We showed a newly developed method, retrograde double-balloon enteroscopy, to be useful for preoperative diagnosis in a case of inflammatory fibroid polyp accompanied by small-bowel intussusception. A 64-year-old woman was admitted to our hospital with small-bowel intussusception. Results of radiographic and ultrasonographic examination were suggestive of a small-bowel mass. Retrograde double-balloon enteroscopy was performed in an attempt to make a preoperative diagnosis. Endoscopic observation, in combination with histological findings derived from endoscopic biopsy, was suggestive of an inflammatory fibroid polyp. The patient then underwent laparotomy with minimal incision, which revealed a polypoid mass leading to a jejunojejunal intussusception, without bowel necrosis, and a partial small-bowel resection was performed. The pathological diagnosis was an inflammatory fibroid polyp.

Publication types

  • Case Reports

MeSH terms

  • Endoscopy, Gastrointestinal*
  • Female
  • Humans
  • Intestinal Polyps / complications*
  • Intestinal Polyps / diagnosis
  • Intestinal Polyps / surgery
  • Intussusception / diagnosis
  • Intussusception / etiology*
  • Intussusception / surgery
  • Jejunal Diseases / complications*
  • Jejunal Diseases / diagnosis
  • Jejunal Diseases / surgery
  • Jejunum / diagnostic imaging
  • Jejunum / pathology
  • Jejunum / surgery
  • Laparotomy
  • Middle Aged
  • Preoperative Care
  • Radiography
  • Treatment Outcome