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Inflammatory Fibroid Polyp in the Jejunum Causing Small Bowel Intussusception.

Kang SH, Kim SW, Moon HS, Sung JK, Jeong HY, Kim JS, Song GS - Ann Coloproctol (2015)

Bottom Line: Intussusceptions are defined as the telescoping of one segment of the gastrointestinal tract into an adjacent distal segment.These polyps are rare, benign, tumorous lesions in the gastrointestinal tract and are typically observed in the stomach, but can occur anywhere in the gastrointestinal tract.Any case of a jejunojejunal intussusception caused by inflammatory fibroid polyps is considered rare, and we report the case of a 51-year-old woman with an inflammatory fibroid polyp of the jejunum presenting as an intussusception who was successfully treated with a resection.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea.

ABSTRACT
Intussusceptions are defined as the telescoping of one segment of the gastrointestinal tract into an adjacent distal segment. In the small bowel, intussusceptions are typically caused by benign processes, but can occasionally be caused by inflammatory fibroid polyps, which often present as intussusception and bowel obstruction. These polyps are rare, benign, tumorous lesions in the gastrointestinal tract and are typically observed in the stomach, but can occur anywhere in the gastrointestinal tract. Any case of a jejunojejunal intussusception caused by inflammatory fibroid polyps is considered rare, and we report the case of a 51-year-old woman with an inflammatory fibroid polyp of the jejunum presenting as an intussusception who was successfully treated with a resection.

No MeSH data available.


Related in: MedlinePlus

A grayish polypoid mass, measuring 4 cm × 2.8 cm in size that was removed from the jejunum.
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Figure 3: A grayish polypoid mass, measuring 4 cm × 2.8 cm in size that was removed from the jejunum.

Mentions: Upon laboratory examination, her hemoglobin was 11.8 mg/dL, her hematocrit was 34.9%, and her white blood cell (WBC) count was 11,600/mm3 (85.8% segmented neutrophils). Total serum bilirubin was 0.36 mg/dL, aspartate aminotransferase was 9 IU/L, alanine aminotransferase was 10 IU/L, albumin was 3.7 g/dL, and C-reactive protein was 4.2 mg/dL. No specific finding were seen in her chest x-rays, and after her small bowel had been dilated with gas, some air-fluid levels were observed on the abdomen x-ray (Fig. 1). To exclude small bowel obstructions and malignancies, we conducted an abdominal computed tomography (CT) scan. CT results revealed an intussusception of the distal jejunum and a dilatation of the proximal small bowel, although no mass-like lesions were found in the small bowel (Fig. 2). Therefore, the patient was diagnosed as having a small bowel obstruction caused by intussusception. She was given decompression treatment using a nasogastric tube and was fed intravenously. Despite the conservative treatment, her abdominal pain and vomiting did not improve; therefore, on the day following admission, she underwent a segmental resection of her small bowel. A grayish polypoid mass measuring 4 cm × 2.8 cm in size was observed in the jejunal wall (Fig. 3). After microscopic examination, the mass was found to be perivascular spindle cells with eosinophil infiltration (Fig. 4); it was later pathologically confirmed as an IFP. The patient has had no specific complications after surgery.


Inflammatory Fibroid Polyp in the Jejunum Causing Small Bowel Intussusception.

Kang SH, Kim SW, Moon HS, Sung JK, Jeong HY, Kim JS, Song GS - Ann Coloproctol (2015)

A grayish polypoid mass, measuring 4 cm × 2.8 cm in size that was removed from the jejunum.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4496452&req=5

Figure 3: A grayish polypoid mass, measuring 4 cm × 2.8 cm in size that was removed from the jejunum.
Mentions: Upon laboratory examination, her hemoglobin was 11.8 mg/dL, her hematocrit was 34.9%, and her white blood cell (WBC) count was 11,600/mm3 (85.8% segmented neutrophils). Total serum bilirubin was 0.36 mg/dL, aspartate aminotransferase was 9 IU/L, alanine aminotransferase was 10 IU/L, albumin was 3.7 g/dL, and C-reactive protein was 4.2 mg/dL. No specific finding were seen in her chest x-rays, and after her small bowel had been dilated with gas, some air-fluid levels were observed on the abdomen x-ray (Fig. 1). To exclude small bowel obstructions and malignancies, we conducted an abdominal computed tomography (CT) scan. CT results revealed an intussusception of the distal jejunum and a dilatation of the proximal small bowel, although no mass-like lesions were found in the small bowel (Fig. 2). Therefore, the patient was diagnosed as having a small bowel obstruction caused by intussusception. She was given decompression treatment using a nasogastric tube and was fed intravenously. Despite the conservative treatment, her abdominal pain and vomiting did not improve; therefore, on the day following admission, she underwent a segmental resection of her small bowel. A grayish polypoid mass measuring 4 cm × 2.8 cm in size was observed in the jejunal wall (Fig. 3). After microscopic examination, the mass was found to be perivascular spindle cells with eosinophil infiltration (Fig. 4); it was later pathologically confirmed as an IFP. The patient has had no specific complications after surgery.

Bottom Line: Intussusceptions are defined as the telescoping of one segment of the gastrointestinal tract into an adjacent distal segment.These polyps are rare, benign, tumorous lesions in the gastrointestinal tract and are typically observed in the stomach, but can occur anywhere in the gastrointestinal tract.Any case of a jejunojejunal intussusception caused by inflammatory fibroid polyps is considered rare, and we report the case of a 51-year-old woman with an inflammatory fibroid polyp of the jejunum presenting as an intussusception who was successfully treated with a resection.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea.

ABSTRACT
Intussusceptions are defined as the telescoping of one segment of the gastrointestinal tract into an adjacent distal segment. In the small bowel, intussusceptions are typically caused by benign processes, but can occasionally be caused by inflammatory fibroid polyps, which often present as intussusception and bowel obstruction. These polyps are rare, benign, tumorous lesions in the gastrointestinal tract and are typically observed in the stomach, but can occur anywhere in the gastrointestinal tract. Any case of a jejunojejunal intussusception caused by inflammatory fibroid polyps is considered rare, and we report the case of a 51-year-old woman with an inflammatory fibroid polyp of the jejunum presenting as an intussusception who was successfully treated with a resection.

No MeSH data available.


Related in: MedlinePlus