title: [A case of inflammatory fibroid polyp presenting with jejunal bleeding].
abstract: 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.
authors.affiliation: Department of Internal Medicine, Dongkang General Hospital, Ulsan, Korea.
authors.forename: Man Keun
authors.initials: MK
authors.lastname: Hwang
authors.forename: Jung Hun
authors.initials: JH
authors.lastname: Kim
authors.forename: Sang Won
authors.initials: SW
authors.lastname: Park
authors.forename: Jae Bum
authors.initials: JB
authors.lastname: Park
authors.forename: Chang Ik
authors.initials: CI
authors.lastname: Lee
authors.forename: Chang Gu
authors.initials: CG
authors.lastname: Lee
authors.forename: Jin Kwan
authors.initials: JK
authors.lastname: Lee
mesh_terms: 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