Three cases of small bowel intussusception in relation to a rare lesion: inflammatory fibrous polyps.
OBJECTIVE
Inflammatory fibrous polyps (IFPs), also known as inflammatory pseudotumors, occur rarely in the gastrointestinal tract. IFPs have variable presentations, often presenting as small bowel obstruction due to intussusception or, less commonly, as an incidental finding on radiological examinations or screening colonoscopies. The diagnosis and management of IFPs will be discussed through a review of the literature and a series of cases from our own institution.


METHODS
A retrospective analysis of the diagnosis, management and complications of IFPs was performed by a literature review. This was accompanied by a series of 3 cases of IFPs, 2 of which causing intussusception, diagnosed and treated in our own institution.


CONCLUSIONS
IFP is a rare disease and has a variable presentation, from asymptomatic to small bowel obstruction due to intussusception. IFPs cannot be differentiated from malignancy without histological examination. Therefore, whether diagnosed incidentally or in the setting of intussusception, the treatment of IFPs is surgical resection of the involved bowel.
Zager
J S
JS
Department of Surgery, North Shore University Hospital, New York University School of Medicine, Manhasset, N.Y, USA. jzager@excite.com
Shaw
J P
JP
Kaufman
J P
JP
DeNoto
G
G
D000328:Adult; D001706:Biopsy; D003108:Colonic Diseases / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D003113:Colonoscopy; D005260:Female; D006104:Granuloma, Plasma Cell / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D007443:Intussusception / Q000209:etiology*; D007579:Jejunal Diseases / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed