Vanek's Tumor: Case Presentation and Literature Review

Abstract

Inflammatory fibroid polyp (IFP) is a rare sub mucosal tumor of the digestive tract, of unknown etiology. We present the case of a 62 year-old female patient, investigated for vomiting, abdominal pain, and anemia. The narrow band imaging (NBI) endoscopy was performed and showed a polypoid tumor, with normal coverage mucosa, movable through the pylorus. The tumor was surgically removed. Histopathologically, spindle cells were detected, with uniform nuclei, without mitosis, and the inflammatory cells were predominantly represented by eosinophils. The vascular component was prominent, suggesting a vascular lesion. Conclusion: Inflammatory fibroid polyp polyp represents a rare diagnosis. The differential diagnosis with gastrointestinal stromal tumor (GIST) should be considered, and clinical presentation as occlusive syndrome, accompanied by weight loss and anemia is quite rare.