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Jejunal intussusception caused by a huge Vanek's tumor: a case report.

Neishaboori H, Maleki I, Emadian O - Gastroenterol Hepatol Bed Bench (2013)

Bottom Line: Ultrasonography demonstrated a solid and echogenic mass surrounded by the typical mural layers of an invaginated jejunum.The immuno-histopathological diagnosis after segmental jejunal resection was a jejunal inflammatory fibroid polyp.Although inflammatory fibroid polyps are seen very rarely in adults, they are among the probable diagnoses that should be considered in obstructive tumors of the small bowel causing intussusceptions.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Mazandaran University of Medical Sciences, Tehran, Iran.

ABSTRACT
Inflammatory fibroid polyp (known also as Vanek's tumor) is a type of localized, non-neoplastic inflammatory pseudotumor or inflammatory myofibroblastic tumor that occurs most commonly in the stomach but also in the small and large bowel. It is a documented cause of intussusception in adults. We report a case of a 40-year-old woman who presented with severe, postprandial abdominal pain followed by projectile vomiting over a period of three days. Ultrasonography demonstrated a solid and echogenic mass surrounded by the typical mural layers of an invaginated jejunum. She underwent urgent laparotomy and resection of an 18 cm tumor from the distal jejunum. The immuno-histopathological diagnosis after segmental jejunal resection was a jejunal inflammatory fibroid polyp. Although inflammatory fibroid polyps are seen very rarely in adults, they are among the probable diagnoses that should be considered in obstructive tumors of the small bowel causing intussusceptions.

No MeSH data available.


Related in: MedlinePlus

Histopathological finding showing ulcerative lesion with variable cellularity.
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Figure 0002: Histopathological finding showing ulcerative lesion with variable cellularity.

Mentions: Abdominal ultrasonography prior to her admission revealed a mass in right lower quadrant with a pseudo-kidney pattern and suggested intussusceptions (Figure 2). Surgical consult was requested and the patient was planned for urgent laparotomy with a diagnosis of small bowel obstruction.


Jejunal intussusception caused by a huge Vanek's tumor: a case report.

Neishaboori H, Maleki I, Emadian O - Gastroenterol Hepatol Bed Bench (2013)

Histopathological finding showing ulcerative lesion with variable cellularity.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4017524&req=5

Figure 0002: Histopathological finding showing ulcerative lesion with variable cellularity.
Mentions: Abdominal ultrasonography prior to her admission revealed a mass in right lower quadrant with a pseudo-kidney pattern and suggested intussusceptions (Figure 2). Surgical consult was requested and the patient was planned for urgent laparotomy with a diagnosis of small bowel obstruction.

Bottom Line: Ultrasonography demonstrated a solid and echogenic mass surrounded by the typical mural layers of an invaginated jejunum.The immuno-histopathological diagnosis after segmental jejunal resection was a jejunal inflammatory fibroid polyp.Although inflammatory fibroid polyps are seen very rarely in adults, they are among the probable diagnoses that should be considered in obstructive tumors of the small bowel causing intussusceptions.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Mazandaran University of Medical Sciences, Tehran, Iran.

ABSTRACT
Inflammatory fibroid polyp (known also as Vanek's tumor) is a type of localized, non-neoplastic inflammatory pseudotumor or inflammatory myofibroblastic tumor that occurs most commonly in the stomach but also in the small and large bowel. It is a documented cause of intussusception in adults. We report a case of a 40-year-old woman who presented with severe, postprandial abdominal pain followed by projectile vomiting over a period of three days. Ultrasonography demonstrated a solid and echogenic mass surrounded by the typical mural layers of an invaginated jejunum. She underwent urgent laparotomy and resection of an 18 cm tumor from the distal jejunum. The immuno-histopathological diagnosis after segmental jejunal resection was a jejunal inflammatory fibroid polyp. Although inflammatory fibroid polyps are seen very rarely in adults, they are among the probable diagnoses that should be considered in obstructive tumors of the small bowel causing intussusceptions.

No MeSH data available.


Related in: MedlinePlus