Intestinal Intussusception in an Adult Affected by Vanek Tumor: A Case Report

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doi:10.31031/smoaj.2020.03.000567

Abstract

Inflammatory fibroid polyp (IFP) is a rare benign lesion, originating from the submucosa in the gastrointestinal tract. It generally appears as an isolated benign lesion, rarely located at the level of the ileum. Its origin is controversial. Clinical presentation varies depending on its location; invagination and obstruction are the most common indicative symptoms when the polyp is located at the level of the small intestine. We report the case of a 60-year old patient with abdominal pain, nausea and vomiting and a personal history of intermittent constipation. Radiological imaging objectified ileo-ileal invagination completely obstructing the ileum light. Segmental resection of the obstructed ileal segment and terminalterminal anastomosis were performed. The final diagnosis of IFP was established using histological examination.

Highlights

Adult intussusception is relatively rare, constituting only 1% of patients with bowel obstructions
We report the case of a 60-year old patient with abdominal pain, nausea and vomiting and a personal history of intermittent constipation
We present the case of a 60-year-old male presenting with symptoms preceding an intestinal obstruction caused by an ileoileal intussusception with an inflammatory fibroid polyp acting as the lead point

Summary

Introduction

Adult intussusception is relatively rare, constituting only 1% of patients with bowel obstructions. Adult intussusception is mostly caused by tumors and 80% of the tumors associated with small bowel intussusception are benign. Vanek tumor (inflammatory fibroid polyp) is a rare pseudo-tumorous lesion of the gastrointestinal tract first described by Vanek in 1949 [1]. It occurs most frequently in the gastric antrum of adults, inflammatory fibroid polyp (IFP) rarely cause ileal intussusception [2]. We present the case of a 60-year-old male presenting with symptoms preceding an intestinal obstruction caused by an ileoileal intussusception with an inflammatory fibroid polyp acting as the lead point

Clinical Case

Surg Med Open Acc J

Findings

Discussion