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Inflammatory fibroid polyp of the ileum causing recurrent intussusception and chronic ischaemia: a case report.

O'Kane AM, O'Donnell ME, McCavert M, Taylor K, Lee J, Wilkinson AJ - Cases J (2008)

Bottom Line: We present a case of a 65-year-old woman presenting with a 1-month history of intermittent generalised abdominal pain.Computerised tomography imaging demonstrated intussusception of the small bowel.Operative resection of the affected segment is recommended.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, Belfast City Hospital, Lisburn Road, Belfast, BT9 7AB, Northern Ireland, UK. modonnell904@hotmail.com.

ABSTRACT

Introduction: Inflammatory fibroid polyp is a rare condition of the gastrointestinal tract which can lead to intestinal obstruction.

Case presentation: We present a case of a 65-year-old woman presenting with a 1-month history of intermittent generalised abdominal pain. Computerised tomography imaging demonstrated intussusception of the small bowel. Histology of the resected small bowel revealed an inflammatory fibroid polyp with evidence of chronic ischaemia related to repeated intussusception. This rare complication of inflammatory fibroid polyps is reviewed.

Conclusion: Although computed tomography is useful in confirming an anatomical abnormality, final diagnosis requires histopathological analysis. Operative resection of the affected segment is recommended.

No MeSH data available.


Related in: MedlinePlus

Contrast-enhanced computed tomography scan demonstrating a mass arising from the pelvis with a tubular appearance consistent with small bowel intussusception and mucosal oedema.
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Figure 1: Contrast-enhanced computed tomography scan demonstrating a mass arising from the pelvis with a tubular appearance consistent with small bowel intussusception and mucosal oedema.

Mentions: The patient failed to settle with conservative management. Repeat abdominal X-rays confirmed an abnormal air-fluid level mainly in the right upper quadrant. A contrast-enhanced computed tomography (CT) scan demonstrated a mass arising from the pelvis with a tubular appearance consistent with small bowel intussusception and mucosal oedema. There was mild dilatation of the ileum proximal to the level of the intussusception with a 'telescoping' appearance of the small bowel intussusception distal to this area (Figures 1 and 2).


Inflammatory fibroid polyp of the ileum causing recurrent intussusception and chronic ischaemia: a case report.

O'Kane AM, O'Donnell ME, McCavert M, Taylor K, Lee J, Wilkinson AJ - Cases J (2008)

Contrast-enhanced computed tomography scan demonstrating a mass arising from the pelvis with a tubular appearance consistent with small bowel intussusception and mucosal oedema.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2577644&req=5

Figure 1: Contrast-enhanced computed tomography scan demonstrating a mass arising from the pelvis with a tubular appearance consistent with small bowel intussusception and mucosal oedema.
Mentions: The patient failed to settle with conservative management. Repeat abdominal X-rays confirmed an abnormal air-fluid level mainly in the right upper quadrant. A contrast-enhanced computed tomography (CT) scan demonstrated a mass arising from the pelvis with a tubular appearance consistent with small bowel intussusception and mucosal oedema. There was mild dilatation of the ileum proximal to the level of the intussusception with a 'telescoping' appearance of the small bowel intussusception distal to this area (Figures 1 and 2).

Bottom Line: We present a case of a 65-year-old woman presenting with a 1-month history of intermittent generalised abdominal pain.Computerised tomography imaging demonstrated intussusception of the small bowel.Operative resection of the affected segment is recommended.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, Belfast City Hospital, Lisburn Road, Belfast, BT9 7AB, Northern Ireland, UK. modonnell904@hotmail.com.

ABSTRACT

Introduction: Inflammatory fibroid polyp is a rare condition of the gastrointestinal tract which can lead to intestinal obstruction.

Case presentation: We present a case of a 65-year-old woman presenting with a 1-month history of intermittent generalised abdominal pain. Computerised tomography imaging demonstrated intussusception of the small bowel. Histology of the resected small bowel revealed an inflammatory fibroid polyp with evidence of chronic ischaemia related to repeated intussusception. This rare complication of inflammatory fibroid polyps is reviewed.

Conclusion: Although computed tomography is useful in confirming an anatomical abnormality, final diagnosis requires histopathological analysis. Operative resection of the affected segment is recommended.

No MeSH data available.


Related in: MedlinePlus