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Published on: March 5, 2018

Small bowel obstruction due to inflammatory fibroid polyp

S Das1, T S Mandal, A K Sinhababu

  • 1Department of General Surgery, Calcutta National Medical College, Kolkata 700014.

Journal of the Indian Medical Association
|October 4, 2012
PubMed

Insights

Inflammatory fibroid polyps are benign intestinal growths. This case highlights a rare instance of recurrent small intestinal obstruction caused by an inflammatory fibroid polyp in the jejunum.

Area of Science:

  • Gastroenterology
  • Pathology

Background:

  • Inflammatory fibroid polyps (IFPs) are rare, benign submucosal tumors of the gastrointestinal tract.
  • While commonly found in the gastric antrum, IFPs can occur throughout the GI tract.

Observation:

  • This report details a case of recurrent partial small intestinal obstruction.
  • The obstruction was attributed to intermittent intussusception.
  • The underlying cause was identified as an inflammatory fibroid polyp in the jejunum.

Findings:

  • Inflammatory fibroid polyps are characterized by mesenchymal cells resembling myofibroblasts, abundant small blood vessels, and significant inflammatory infiltrate, particularly eosinophils.
  • The polyp's submucosal location contributed to the intussusception and subsequent obstruction.

Implications:

  • This case underscores the importance of considering IFPs in the differential diagnosis of unexplained small intestinal obstruction, especially when recurrent.
  • Accurate diagnosis and management are crucial to prevent complications associated with intussusception and obstruction.

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