Giant Inflammatory Fibroid Polyp Research Articles

Giant Inflammatory Fibroid Polyp of the Hepatic Flexure of Colon Presenting with an Acute Abdomen.

Background. Inflammatory Fibroid Polyp (IFP) of the colon is an exceedingly rare condition. Since 1952 till now only 32 cases have been reported worldwide of which only 5 were giant (>4 cm) polyps mostly found in the caecum (15 cases) with only 3 in the descending colon. Case Presentation. A 36-year-old female with no previous illness presented to the emergency unit with an acute onset pain over the right hypochondrium for 3 days associated with intermittent fever and anorexia. As she had evidence of localized peritonitis she underwent a diagnostic laparoscopy and subsequently an exploratory laparotomy. A mass measuring 8 × 7 × 5 cm arising from the hepatic flexure of colon was noted. Right hemicolectomy with ileotransverse anastomosis was performed. The mass was subsequently reported to be IFP. Conclusion. IFP is a very rare condition with clinical presentation depending upon its size and location. Definitive diagnosis is possible with histopathological examination of tissue aided by immunohistochemical studies. Surgical resection has been the most common method of treatment especially for large and giant colonic IFPs owing to challenges in terms of diagnosis and technical difficulties associated with endoscopic methods.

Giant inflammatory fibroid polyp causing invagination: case report

Invajinasyon proksimaldeki barsak parcasinin distal parca icine girmesi ile karakterize bir klinik tablodur. Tum invajinasyonlarin yalnizca %5\'i eriskinde gorulur. Inflamatuar fibroid polip gastrointestinal sistemin nadir gorulen, en sik mide antrumundan koken almakla birlikte gastrointestinal sistemin her yerinde gorulebilen lezyonudur. Yazimizda 42 yasinda terminal ileumda dev polipoid kitleye bagli ileokolik invajinasyon gelisen ve malignite suphesiyle terminal ileum rezeksiyonuyla beraber sag hemikolektomi yapilan ve kitlenin patolojisi inflamatuar fibriod polip olarak degerlendirilen olgu sunulmaktadir.

Giant inflammatory fibroid polyp of ileum causing intussusception: a case report

Inflammatory fibroid polyps are rare, localized, non-neoplastic lesions originating in the submucosa of the gastrointestinal tract. Intussusception due to inflammatory fibroid polyps is uncommon; moreover, ileo-ileal intussusception has only rarely been reported. Here, we report an 11 × 7 cm giant inflammatory fibroid polyp of the small bowel that presented as intussusception in a 73-year-old woman. Ultrasonography demonstrated a solid, homogeneous, echogenic mass surrounded by the typical mural layers of an invaginated ileum. The immunohistopathological diagnosis after segmental ileal resection was an ileal inflammatory fibroid polyp. Although encountered rarely in adults, physicians should be aware of invagination and consider it in each case of acute abdomen because of the wide spectrum of clinical settings.