Adult intussusception caused by an inflammatory fibroid ileal polyp

Acta Chir Belg. Mar-Apr 2012;112(2):157-9. doi: 10.1080/00015458.2012.11680815.

Abstract

Background: Inflammatory fibroid polyps (IFPs) are rare benign lesions of uncertain origin that may occur in various parts of the gastrointestinal tract that originate from the sub mucosa located in different sites of the digestive tract. They are commonly located in the stomach and small bowel. It is one of the probable diagnoses that should be considered in obstructive tumors of the small intestine causing invagination.

Methods: A case of IFP is presented, causing intestinal invagination in an 39-year-old female patient, admitted with abdominal distension and pain.

Result: Computerised tomography imaging (CT) demonstrated intussusception of the small bowel. Exploratory laparotomy revealed a bowel intussusception. An ileo-ileal anastomosis was performed after resection of the tumoral segment. Histology of the resected small bowel revealed an inflammatory fibroid polyp.

Conclusions: intussusception secondary to IFPs of the small intestine are difficult to diagnose without recognition of its clinical and pathological characteristics. CT is useful in confirming an anatomical abnormality, histological examination establishes the final diagnosis of IFPs.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Female
  • Humans
  • Ileal Diseases / etiology
  • Ileitis / complications*
  • Ileitis / diagnosis
  • Ileitis / surgery
  • Intestinal Polyps / complications*
  • Intestinal Polyps / diagnosis
  • Intestinal Polyps / surgery
  • Intussusception / etiology*
  • Tomography, X-Ray Computed
  • Treatment Outcome