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Inflammatory fibroid polyp of proximal ileum causing recurrent intussusception
P K Bandyopadhyay1, N Ishaq, A K Malik
1Department of Medicine, Salmaniya Medical Centre, Bahrain.
Insights
A rare benign tumor, inflammatory fibroid polyp (IFP), caused small bowel obstruction in a 64-year-old female. Prompt surgery confirmed the diagnosis, highlighting IFP as a critical consideration for such cases.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Small bowel obstruction presents a significant clinical challenge.
- Benign causes of obstruction are often underdiagnosed.
- Inflammatory fibroid polyps (IFPs) are rare gastrointestinal neoplasms.
Observation:
- A 64-year-old female experienced recurrent episodes of small bowel obstruction.
- Imaging revealed a polypoidal lesion in the proximal small bowel.
- Emergency surgery was indicated due to impending acute intestinal obstruction.
Findings:
- Pathological examination confirmed the lesion as an inflammatory fibroid polyp (IFP).
- IFPs are characterized by submucosal inflammatory and fibrotic tissue.
- This case underscores the importance of considering IFP in the differential diagnosis.
Implications:
- Accurate diagnosis of IFP is crucial for appropriate surgical management.
- Early recognition can prevent complications associated with bowel obstruction.
- This case contributes to the understanding of rare causes of gastrointestinal obstruction.
Abstract:
A 64-year-old female presented with episodes of small bowel obstruction. Ultrasound and barium meal showed a polypoidal lesion in the proximal segment of small bowel. The patient underwent emergency surgery because of signs of impending acute intestinal obstruction. Pathology showed characteristics features of an inflammatory fibroid polyp (IFP) which is an important though rare benign cause of small bowel obstruction. We document clinical and pathological aspects of this case.