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Pyloric Obstruction Caused by an Inflammatory Fibroid Polyp
Dimitrios Mantas1, Nikolaos Garmpis1, Damaskini Polychroni2
1Second Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Case Reports in Surgery
|June 15, 2019
Summary
A case report details a 57-year-old woman with abdominal pain. Imaging suggested a gastrointestinal stromal tumor (GIST), but surgery revealed an inflammatory fibroid polyp (IFP).
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Abdominal pain and vomiting can indicate various gastrointestinal pathologies.
- Differentiating benign from malignant gastric masses can be challenging.
Observation:
- A 57-year-old woman presented with a two-month history of abdominal pain and vomiting.
- Abdomen CT scan identified a large 6 × 4.8 cm mass in the pyloric antrum, mimicking a gastrointestinal stromal tumor (GIST).
- Initial upper gastrointestinal endoscopies and biopsies were inconclusive.
Findings:
- Surgical resection of the mass was performed.
- Histopathological analysis confirmed the mass to be an inflammatory fibroid polyp (IFP), not a GIST.
- The IFP had well-defined borders, facilitating complete excision.
Implications:
- Inflammatory fibroid polyps can present as large gastric masses, mimicking GIST on imaging.
- Accurate histopathological diagnosis is crucial for appropriate management of gastric polyps.
- This case highlights the importance of considering rare benign entities in the differential diagnosis of gastric tumors.
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