Ileocolic Intussusception in an Adult Due to Inflammatory Fibroid Polyp: A Case Report

Area of Science:

• Gastroenterology
• Surgical Pathology
• Oncology

Background:

• Intussusception, a condition where one part of the intestine slides into another, most commonly occurs in the ileocolic region.
• While often seen in children, intussusception can affect adults and may be caused by tumors or polyps in the ileum.
• Inflammatory fibroid polyps (IFPs) are rare, benign neoplasms of the gastrointestinal tract, with the stomach and small intestine being common locations.

Observation:

• This report details a rare instance of an ileal inflammatory fibroid polyp (IFP).
• The IFP led to ileocolic intussusception, a serious complication causing small bowel obstruction.
• The patient presented with symptoms indicative of a bowel obstruction.

Findings:

• The ileal IFP was identified as the cause of the ileocolic intussusception and subsequent small bowel obstruction.
• Surgical excision of the ileal IFP was performed.
• Histopathological examination of the resected specimen confirmed the diagnosis of inflammatory fibroid polyp.

Implications:

• This case underscores the importance of considering rare tumors like IFPs in the differential diagnosis of adult intussusception.
• Surgical intervention remains a critical treatment for IFPs complicated by intussusception and obstruction.
• Accurate histopathological diagnosis is essential for managing IFPs and preventing recurrence.