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Related Concept Videos

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Inflammatory Bowel Disease V: Surgical Management

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Related Experiment Video

Updated: Jun 27, 2026

The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors
04:09

The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors

Published on: February 13, 2026

Rectal inflammatory fibroid polyp resected with endoscopic submucosal dissection.

Takaya Shimura1, Hiromi Kataoka, Makoto Sasaki

  • 1Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya. tshimura@med.nagoya-cu.ac.jp

Internal Medicine (Tokyo, Japan)
|December 2, 2008
PubMed
Summary

A rare rectal inflammatory fibroid polyp (IFP), smaller than typical and asymptomatic, was successfully diagnosed and treated using endoscopic submucosal dissection (ESD). This case highlights ESD

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Area of Science:

  • Gastroenterology
  • Oncology
  • Pathology

Background:

  • Inflammatory fibroid polyps (IFPs) are rare, benign submucosal tumors of the gastrointestinal tract.
  • Most IFPs occur in the stomach; rectal IFPs are exceptionally rare, with only one prior report.
  • Typically, IFPs exceed 1 cm and manifest with symptoms.

Observation:

  • A colonoscopy identified a small, asymptomatic 3 mm submucosal rectal tumor in a 66-year-old male.
  • The lesion was incidentally discovered during a routine examination.

Findings:

  • The rectal tumor was histopathologically confirmed as an inflammatory fibroid polyp (IFP).
  • Endoscopic submucosal dissection (ESD) achieved complete resection of the IFP.
  • This represents a unique case of a diminutive rectal IFP.

Implications:

  • Endoscopic submucosal dissection (ESD) is a viable and effective treatment for small rectal IFPs.
  • This case expands the understanding of IFP presentation and management in the rectum.
  • Highlights the importance of thorough histopathological examination for submucosal lesions.