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Vanek's tumor causing ileoileal intussusception in a middle-aged man
Syamim Johan1, Pei Pei Lee1, Nornazirah Azizan2
1Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia.
Oxford Medical Case Reports
|July 31, 2020
Summary
Inflammatory fibroid polyps (IFPs) are a rare cause of adult small bowel obstruction due to intussusception. Surgical intervention is the primary treatment for this condition in adults, ensuring a successful recovery.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Intestinal obstruction is a frequent surgical emergency.
- Small bowel obstruction from intussusception is uncommon, particularly when caused by an inflammatory fibroid polyp (IFP).
Purpose of the Study:
- To report a rare case of adult intestinal intussusception caused by an IFP.
- To highlight the diagnostic and management strategies for IFP-induced intussusception.
Main Methods:
- Case presentation of a 41-year-old male with symptoms of intestinal obstruction.
- Diagnostic imaging using computed tomography (CT) to identify the lead point.
- Surgical exploration and histopathological confirmation of the IFP, supported by immunohistochemistry (CD34+, CD117-).
Main Results:
- The patient presented with classic symptoms of intestinal obstruction.
- CT scan revealed a target/sausage-shaped mass consistent with intussusception.
- Histopathology confirmed IFP, and the patient recovered well post-surgery without complications or recurrence.
Conclusions:
- Inflammatory fibroid polyps are an infrequent cause of intussusception leading to small bowel obstruction in adults.
- While non-surgical methods are used in children, surgery remains the standard treatment for adults with IFP-induced intussusception.
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