title: A case of inflammatory fibroid polyp causing small-bowel intussusception in which retrograde double-balloon enteroscopy was useful for the preoperative diagnosis.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Division of Gastroenterology, Jichi Medical School, Mianamikawachi, Tochigi, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Miyata
authors.forename: H
authors.initials: H
authors.lastname: Yamamoto
authors.forename: H
authors.initials: H
authors.lastname: Kita
authors.forename: T
authors.initials: T
authors.lastname: Yano
authors.forename: K
authors.initials: K
authors.lastname: Sunada
authors.forename: Y
authors.initials: Y
authors.lastname: Sekine
authors.forename: M
authors.initials: M
authors.lastname: Iwamoto
authors.forename: A
authors.initials: A
authors.lastname: Kuno
authors.forename: N
authors.initials: N
authors.lastname: Onishi
authors.forename: K
authors.initials: K
authors.lastname: Ido
authors.forename: M
authors.initials: M
authors.lastname: Nokubi
authors.forename: A
authors.initials: A
authors.lastname: Tanaka
authors.forename: K
authors.initials: K
authors.lastname: Sugano
mesh_terms: 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