Small bowel intussusception due to inflammatory fibroid polyp: A case report

Area of Science:

• Gastroenterology
• Surgical Pathology
• Oncology

Background:

• Inflammatory fibroid polyps (IFPs), also known as Vanek's tumors, are rare benign mesenchymal neoplasms.
• These lesions can occur anywhere in the gastrointestinal tract, most commonly in the stomach and small intestine.
• Clinical presentation varies based on size and location, often mimicking other gastrointestinal pathologies.

Observation:

• A patient presented with symptoms suggestive of small bowel obstruction.
• Computed tomography (CT) imaging demonstrated ileoileal intussusception without an identifiable lead point.
• Surgical intervention was required to address the intussusception.

Findings:

• Surgical resection of the intussuscepted segment revealed a polypoid mass acting as the lead point.
• Histopathological examination confirmed the diagnosis of an inflammatory fibroid polyp.
• This finding underscores the importance of thorough pathological analysis in diagnosing obscure gastrointestinal lesions.

Implications:

• This case emphasizes that IFPs, though rare, can present as a lead point for intussusception, causing significant clinical manifestations like bowel obstruction.
• Accurate diagnosis relies on a combination of advanced imaging and definitive histopathological analysis.
• Understanding the varied presentations of IFPs is crucial for appropriate clinical management and surgical planning.