[A case of inflammatory fibroid polyp presenting with jejunal bleeding].
Inflammatory fibroid polyp occurs very rarely in the jejunum and gastrointestinal bleeding as an initial manifestation of inflammatory fibroid polyp has not been reported. We report a case of a jejunal inflammatory fibroid polyp presenting with melena for 10 days. Upper gastrointestinal endoscopic examination was negative for any active bleeding lesions and abdominal angiography failed to localize the bleeding site as well. In contrast, computed tomography of the abdomen demonstrated a segmental wall thickening of the jejunum with a tumor-like mass lesion associated with dense contrast enhancement. Consistent with this, technetium 99m red blood cells scintigraphy exhibited red cell pooling at the right upper quadrant. On exploratory laparotomy, there was an active bleeding from the site of the jejunal tumor and a segmental resection was performed. Histologically, the tumor lesion of the jejunum was consistent with inflammatory fibroid polyp. Thus, we conclude that the tumor lesion was a cause of the gastrointestinal bleeding.
Hwang
Man Keun
MK
Department of Internal Medicine, Dongkang General Hospital, Ulsan, Korea.
Kim
Jung Hun
JH
Park
Sang Won
SW
Park
Jae Bum
JB
Lee
Chang Ik
CI
Lee
Chang Gu
CG
Lee
Jin Kwan
JK
D000328:Adult; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007417:Intestinal Polyps / Q000175:diagnosis / Q000473:pathology*; D007579:Jejunal Diseases / Q000175:diagnosis / Q000473:pathology*; D008297:Male