scholarly journals Inflammatory Fibroid Polyp: An Unusual Cause of Ileoileal Intussusception

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Haley S. Adams ◽  
Brian Bergstrom ◽  
Bret Haines ◽  
Nathan Roberts
Keyword(s):  
Primary Anastomosis ◽  
Benign Lesion ◽  
Clinical Manifestations ◽  
Immunohistochemical Analysis ◽  
Lead Point ◽  
Inflammatory Fibroid Polyp ◽  
Gi Tract ◽  
Fibroid Polyp ◽  
Pathological Lead Point ◽  
Early Surgical Intervention

Inflammatory fibroid polyp (IFP), or Vanek’s tumor, is a rare benign lesion of the gastrointestinal tract. Clinical manifestations of IFP vary based on size and location within the GI tract. This case describes a patient who presented with hematochezia and abdominal pain. Computed tomography revealed ileoileal intussusception without a clear lead point. The patient underwent resection of the intussuscepted small bowel with primary anastomosis. A large polypoid mass was identified as the pathological lead point. Histopathological and immunohistochemical analysis revealed an IFP. Review of the literature indicates that early surgical intervention is the treatment of choice for intussusception caused by IFP. Lesions are typically reported as solitary, and resection is curative.

Inflammatory Fibroid Polyp of the Gallbladder Bearing a Platelet-Derived Growth Factor Receptor Alpha Mutation

2013 ◽  
Vol 137 (5) ◽  
pp. 721-724 ◽  
Author(s):  
Maurizio Martini ◽  
Luisa Santoro ◽  
Pietro Familiari ◽  
Guido Costamagna ◽  
Riccardo Ricci
Keyword(s):  
Differential Diagnosis ◽  
Growth Factor ◽  
Benign Lesion ◽  
Growth Factor Receptor ◽  
Inflammatory Cells ◽  
Platelet Derived Growth Factor ◽  
Inflammatory Fibroid Polyp ◽  
Pathologic Features ◽  
Fibroid Polyp ◽  
Small Intestinal

The inflammatory fibroid polyp (IFP) is a benign lesion occurring in the digestive tract, mostly in the stomach and small bowel, composed of fibrovascular tissue infiltrated by inflammatory cells including eosinophils and mastocytes. Its pathogenesis has been controversial (reactive versus neoplastic). The recent finding of mutations in platelet-derived growth factor receptor α (PDGFRA) in most gastric and small intestinal IFPs supported their neoplastic etiology, moreover helping in their differential diagnosis. In the only gallbladder IFP reported so far, the diagnosis was based on morphologic and immunohistochemical grounds, which in current standards would probably be considered not fully conclusive. Conversely, the gallbladder IFP we report shows typical pathologic features supported by a PDGFRA mutation, similar to its usual gastric and small intestinal counterparts, constituting the first report of an unequivocal IFP at gallbladder level. Thus, IFPs must be considered in the differential diagnosis of gallbladder mesenchymal masses, and genetic analysis of PDGFRA is a helpful tool for this purpose.

scholarly journals Adult Intussusception Due to Inflammatory Fibroid Polyp - Vanek's Tumour

KYAMC Journal ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. 190-193
Author(s):  
Sayeed Bin Sharif ◽  
Fatema Begum ◽  
Masudar Rahman ◽  
Fardil Hossain Faisal ◽  
ABM Moniruddin
Keyword(s):  
Abdominal Pain ◽  
Rare Disease ◽  
Intestinal Tract ◽  
Lower Abdominal Pain ◽  
Adult Intussusception ◽  
Lead Point ◽  
Inflammatory Fibroid Polyp ◽  
Fibroid Polyp ◽  
Adnexal Pathology ◽  
Gastro Intestinal Tract

Adult intussusception is a rare disease, found 5% of all cases of intussusceptions and almost 1%-5% of bowel obstruction. In adults, intussusception is typically due to a pathologic lead point within the bowel, which is malignant in over 50% of cases. Inflammatory fibroid polyp (also known as Vanek' stumour) is an uncommon, non-neoplastic proliferating lesion which can develop in various parts of the gastro-intestinal tract but most commonly in the gastric antrum and the ileum. Here we present a case of 35 years old lady with symptoms intermittent lower abdominal pain. USG of abdomen revealed as right adnexal complex cyst with thicken gut wall. She was underwent laparotomy and found ileo-ileal intussusception but no adnexal pathology. Segmental resection done where histopathology reported as loops of intussusception containing inflammatory fibroid polyp. KYAMC Journal Vol. 9, No.-4, January 2019, Page 190-193

scholarly journals Vanek’s tumor causing ileoileal intussusception in a middle-aged man

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Syamim Johan ◽  
Pei Pei Lee ◽  
Nornazirah Azizan ◽  
Firdaus Hayati ◽  
Andee Dzulkarnaen Zakaria
Keyword(s):  
Computed Tomography ◽  
Intestinal Obstruction ◽  
Soft Tissue Mass ◽  
Surgical Complication ◽  
Lead Point ◽  
Inflammatory Fibroid Polyp ◽  
Tissue Mass ◽  
Layering Effect ◽  
Fibroid Polyp ◽  
Classic Symptom

Abstract Intestinal obstruction is a common surgical emergency requiring urgent intervention. Small bowel obstruction secondary to intussusception is rarely encountered especially when inflammatory fibroid polyp (IFP) is the lead point. A 41-year-old gentleman with intestinal intussusception secondary to IFP presented to us with a classic symptom of intestinal obstruction. Computed tomography revealed a target or sausage-shaped soft tissue mass with a layering effect, which was confirmed by intraoperative findings. Histopathology was consistent with IFP and supported by immunoreactivity of CD34 and negative immunostaining for CD117. He recovered without any surgical complication or recurrence. Even intussusception can be managed via non-surgical technique in children; surgery is the mainstay of treatment in adults.

Inflammatory fibroid polyp of the gallbladder

1998 ◽  
Vol 33 (6) ◽  
pp. 588-589 ◽  
Author(s):  
Fogt ◽  
Zimmerman ◽  
Buyske
Keyword(s):  
Inflammatory Fibroid Polyp ◽  
Fibroid Polyp

scholarly journals Successful hemostasis of bleeding gastric inflammatory fibroid polyp by endoscopic treatment in a patient with severe COVID-19

2021 ◽  
Author(s):  
Ayako Murota ◽  
Shinji Yoshi ◽  
Ryu Okuda ◽  
Sae Oowada ◽  
Tsukasa Yamakawa ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Lung Injury ◽  
Extracorporeal Membrane Oxygenation ◽  
Endoscopic Treatment ◽  
Gastrointestinal Symptoms ◽  
Closed Circuit ◽  
Intestinal Damage ◽  
Medical Procedures ◽  
Inflammatory Fibroid Polyp ◽  
Fibroid Polyp

AbstractThe coronavirus disease-2019 (COVID-19) has rapidly become a pandemic, resulting in a global suspension of non-emergency medical procedures such as screening endoscopic examinations. There have been several reports of COVID-19 patients presenting with gastrointestinal symptoms such as diarrhea and vomiting. In this report, we present a case of successful hemostasis of bleeding gastric inflammatory fibroid polyp by endoscopic treatment in a patient with severe COVID-19. The case was under mechanical ventilation with extracorporeal membrane oxygenation (ECMO), and the airway was on a closed circuit. This indicates that COVID-19 is associated with not only lung injury but also intestinal damage, and that proper protective protocols are essential in guaranteeing the best outcomes for patients and clinical professionals during this pandemic.

scholarly journals An Ileal Inflammatory Fibroid Polyp Treated by Endoscopic Resection

2016 ◽  
Vol 55 (19) ◽  
pp. 2901-2902 ◽  
Author(s):  
Kozue Takeshita ◽  
Kazuhiro Kashiwagi ◽  
Yuka Ishibashi ◽  
Takanori Kanai
Keyword(s):  
Endoscopic Resection ◽  
Inflammatory Fibroid Polyp ◽  
Fibroid Polyp

COLLOID CYSTS OF THE THIRD VENTRICLE: A REVIEW OF SIXTEEN CASES

2021 ◽  
pp. 62-64
Author(s):  
Y Srinivas Rao ◽  
Hemal Chheda ◽  
Ch Surendra ◽  
M V Vijayasekhar ◽  
K Satya Varaprasad
Keyword(s):  
Benign Lesion ◽  
Third Ventricle ◽  
Clinical Manifestations ◽  
Colloid Cyst ◽  
Surgical Approaches ◽  
Imaging Features ◽  
Complete Excision ◽  
Advantages And Disadvantages ◽  
The Third ◽  
Colloid Cysts

BACKGROUND : Colloid cysts are one of the rare brain tumours and are mostly located in the anterosuperior portion of the third ventricle, between the fornix and surround of Foramen of Monroe. OBJECTIVES: Ÿ 1.To review the demographic information & analyse clinical manifestations of patients presenting with colloid cyst of third ventricle. Ÿ 2.To analyze the advantages and disadvantages of various surgical approaches Ÿ 3.To assess the surgical outcome in colloid cyst patients operated by any method. MATERIALS AND METHODS: A retrospective study was performed on 16 patients who presented with a colloid cyst and underwent surgery at the Department of Neurosurgery, King George Hospital, Andhra Medical College between 2013-2018. They were evaluated based on clinical ndings and imaging features, surgical approaches used for resection and their outcomes. RESULTS: Sixteen cases of colloid cyst of the third ventricle were operated upon between 2013-2018. There were seven male and nine female patients with their ages varying between 9 and 62 years old. Nine patients were operated on by using a transcortical trans-ventricular approach, four using the anterior trans-callosal approach and, three patients by using an endoscopic approach. In all patients, complete excision of the lesions was achieved. CONCLUSION: Colloid cysts, though benign, present surgical challenges because of its deep midline location. Complete excision of the colloid cyst carries an excellent prognosis. Surgery is a safe and effective treatment option for this benign lesion.

EP.FRI.543 A rare case of acute jejuno-jenual intussusception in a patient with Roux-en-Y bypass secondary to a benign polyp

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Armin Fardanesh ◽  
Jamie Powell ◽  
Maitham Al-Whouhayb
Keyword(s):  
Small Bowel ◽  
Rare Case ◽  
Exploratory Laparotomy ◽  
Lead Point ◽  
Benign Polyp ◽  
Small Bowel Intussusception ◽  
Pathological Lead Point ◽  
Malignant Lesions ◽  
Ectopic Pacemaker ◽  
Upper Abdominal

Abstract Introduction Roux-en-Y Gastric bypass (REYGB) amounts for a third of surgical bariatric interventions. Small bowel obstruction (SBO) is a long-term complication in REYGB and can be caused by intussusception of bowel, in approximately 0.5% of procedures.  Intussusception in REYBG is mostly attributed to dysmotility. This report demonstrates a rare case of intussusception in REYGB secondary to a benign polyp.  Case description A 45 year old female, three years post REYGB, presented to A&E with acute, extreme upper abdominal pain, with three days absolute constipation. She was tender on examination with normal blood tests. CT scan demonstrated small bowel intussusception. Initial concerns were of intussusception of the jejuno-jejunostomy anastomosis causing SBO.  She had an exploratory laparotomy, which confirmed intussusception, however this was 20cm distal to the jejuno-jejunostomy. Bowel was gently reduced, and deemed viable. On thorough run-through, a small segment at the transition point, was considered abnormal on palpation. This region was resected and a 1x1cm intraluminal polyp was identified as the causative lead point. The patient did well postoperatively.  Discussion Small bowel intussusception in adults is typically attributed to pathological lead point, such as benign or malignant lesions. Intussusception in REYBG is a rare but well-documented cause of intestinal obstruction, usually attributed to dysmotility, secondary to ectopic pacemaker cells particularly around anastomoses. In this case, the intussusception was caused by an unusual pathology separate from the jejuno-jejunal anastomosis. We recommend thorough examination of all adjacent bowel to exclude lesions, in this case a polyp, which could result in recurrence. 

scholarly journals A rare case of adult Ileo-ileal intussusception due to inflammatory fibroid polyp

2017 ◽  
Vol 4 (2) ◽  
pp. 813
Author(s):  
Nitin Kalaskar ◽  
Sharad M. Tanga ◽  
Ravindra B. Dhaded ◽  
Puneeth Thalasta
Keyword(s):  
Small Bowel ◽  
Rare Case ◽  
Clinical Symptoms ◽  
Inflammatory Fibroid Polyp ◽  
Clinical Challenge ◽  
Neoplastic Condition ◽  
Fibroid Polyp ◽  
Inflammatory Fibroid Polyps

Inflammatory fibroid polyps are uncommon; moreover, that polyp causing secondary intussusception in an adult are still rarer. Here, we report a case of inflammatory fibroid polyp of the small bowel that presented as just vague pain in the abdomen in a 48-year-old woman. Even though investigations reported Ileo-ileal intussusception caused by a polyp, the patient did not have clinical symptoms that could be correlated. The rareness of the disease made it a clinical challenge to subject the patient to laparotomy. The rareness of non-neoplastic condition being the cause for adult ileo-ileal intussusception and the clinical challenge associated with it makes it a case worth reporting.

Sign in / Sign up

Export Citation Format

Share Document