A Rare Combination of Gastric Inflammatory Fibroid Polyp and Hiatal Hernia

Coskun Polat,Murat Burc Yazicioglu,Mehmet Nuri Kosar,Serkan Turel,Yuksel Arikan

doi:10.4236/ss.2011.27080

Abstract

Inflammatory fibroid polyp (IFP) is a rare solitary gastrointestinal lesion of unknown etiology. It generally presents as polypoid mass in the gastric antrum. Mostly affects adults at average age of 60 years. IFP can cause different symptoms such as abdominal pain, gastrointestinal bleeding, intestinal obstruction or intussusception. IFP is a bening lesion and it may rarely mimic the submucosal tumor. The diagnosis can be possible after removal of the detected lession either by laparoscopic or open approach. In the present paper, we report a patient with gastric IFP and hiatal hernia. IFP was excised throughout the gastrotomy and following hiatal hernia was repaired. According to our best knowledge, this may be the first case report of gastric IFP concomitance with a hiatal hernia.

Highlights

Inflammatory fibroid polyp is a relatively rare disorder which is thougt to be clinically and histologically benign, and was first described as “polypoid fibroma” in 1920 by Kojetzny [1]
We report a patient with gastric Inflammatory fibroid polyp (IFP) and hiatal hernia
We aimed to report a patient with IFP and hiatal hernia and to review the literature

Summary

Introduction

Inflammatory fibroid polyp is a relatively rare disorder which is thougt to be clinically and histologically benign, and was first described as “polypoid fibroma” in 1920 by Kojetzny [1] It may occur throughout the digestive tract, but is most often seen in the stomach (approximately 80%) and usually occured either in the antrum or prepyloric region [2]. IFP originates from submucosa and grows as a solitary polypoid or sessile mass which may macroscopically mimic gastric cancer. When it is in the stomach, most frequently seen symptoms are vomiting, epigastric pain and bleeding. We aimed to report a patient with IFP and hiatal hernia and to review the literature

Case Report

Discussion