A case of inflammatory fibroid polyp causing small-bowel intussusception in which retrograde double-balloon enteroscopy was useful for the preoperative diagnosis.
We showed a newly developed method, retrograde double-balloon enteroscopy, to be useful for preoperative diagnosis in a case of inflammatory fibroid polyp accompanied by small-bowel intussusception. A 64-year-old woman was admitted to our hospital with small-bowel intussusception. Results of radiographic and ultrasonographic examination were suggestive of a small-bowel mass. Retrograde double-balloon enteroscopy was performed in an attempt to make a preoperative diagnosis. Endoscopic observation, in combination with histological findings derived from endoscopic biopsy, was suggestive of an inflammatory fibroid polyp. The patient then underwent laparotomy with minimal incision, which revealed a polypoid mass leading to a jejunojejunal intussusception, without bowel necrosis, and a partial small-bowel resection was performed. The pathological diagnosis was an inflammatory fibroid polyp.
Miyata
T
T
Department of Internal Medicine, Division of Gastroenterology, Jichi Medical School, Mianamikawachi, Tochigi, Japan.
Yamamoto
H
H
Kita
H
H
Yano
T
T
Sunada
K
K
Sekine
Y
Y
Iwamoto
M
M
Kuno
A
A
Onishi
N
N
Ido
K
K
Nokubi
M
M
Tanaka
A
A
Sugano
K
K
D016099:Endoscopy, Gastrointestinal; D005260:Female; D006801:Humans; D007417:Intestinal Polyps / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D007583:Jejunum / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D007813:Laparotomy; D008875:Middle Aged; D011300:Preoperative Care; D011859:Radiography; D016896:Treatment Outcome