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Inflammatory fibroid polyp or Vanek's tumour
Digestive Surgery
|June 2, 2007
Summary
A large inflammatory fibroid polyp caused severe abdominal pain and vomiting in a 65-year-old woman. This rare gastric tumor was successfully removed, offering relief and insights into its management.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Inflammatory fibroid polyps (IFPs), also known as Vanek's tumors, are rare, benign mesenchymal tumors of the gastrointestinal tract.
- While typically found in the stomach, IFPs can occur anywhere along the GI tract, presenting diagnostic challenges due to their nonspecific symptoms.
Observation:
- A 65-year-old woman experienced recurrent, severe postprandial abdominal pain and projectile vomiting.
- Gastroscopy identified a large polyp in the prepyloric region of the stomach.
- The polyp was observed to intermittently obstruct the pylorus during gastric peristalsis.
Findings:
- The obstructing polyp was successfully removed piecemeal.
- Histopathologic examination confirmed the diagnosis of an inflammatory fibroid polyp (Vanek's tumor).
Implications:
- This case highlights the importance of considering IFPs in the differential diagnosis of gastric outlet obstruction.
- Surgical resection is the primary treatment for symptomatic IFPs.
- Further review of IFPs is warranted to understand their pathogenesis and optimize clinical management.
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