tailieunhanh - Báo cáo y học: "Inflammatory fibroid polyp of the ileum presenting with small bowel obstruction in an adult patient: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Inflammatory fibroid polyp of the ileum presenting with small bowel obstruction in an adult patient: a case report. | Toydemir Journal of Medical Case Reports 2010 4 291 http content 4 1 291 jAc JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Inflammatory fibroid polyp of the ileum presenting with small bowel obstruction in an adult patient a case report Toygar Toydemir Abstract Introduction Inflammatory fibroid polyps are rare benign tumors of the gastrointestinal tract with the gastric antrum being the most common site followed by the ileum. Histogenesis is still unknown and controversial. Inflammatory fibroid polyps are one of the rare benign conditions leading to intestinal obstruction in adults. Case presentation A 54-year-old Caucasian man presented with acute abdomen pain and a two month history of intermittent cramping and lower abdominal pain. Computed tomography imaging demonstrated a partial intestinal obstruction in the location of the terminal ileum. An ileo-ileal intussusception due to a mass lesion 15 cm proximal to the caecum was found on exploratory laparotomy. Intussusception was spontaneously reduced during exploration and a wedge resection was performed to the affected bowel segment. Histopathologic examination showed the mass to be an inflammatory fibroid polyp. Conclusion Although inflammatory fibroid polyps are rare and benign in the case of intestinal obstruction the only solution is a surgical approach. Introduction Intussusception is an uncommon cause of intestinal obstruction in adults 1 . Patients with intussusception present with either acute or chronic intermittent symptoms. The majority of adult intussusceptions occur due to malignant processes 2 . We report the case of an adult inflammatory fibroid polyp IFP confined to the terminal ileum which presented with acute symptoms and a repeated intussusception background history. The aim of this study is to remind that some very rare etiologies may be involved in adult intestinal obstructions. Case presentation A 54-year-old Caucasian Turkish man presented to the .

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