Inflammatory fibroid polyp of the ileum presenting with small bowel obstruction in an adult patient: a case report.
BACKGROUND
Inflammatory fibroid polyps are rare benign tumors of the gastrointestinal tract with the gastric antrum being the most common site, followed by the ileum. Histogenesis is still unknown and controversial. Inflammatory fibroid polyps are one of the rare benign conditions leading to intestinal obstruction in adults.


METHODS
A 54-year-old Caucasian man presented with acute abdomen pain and a two month history of intermittent cramping and lower abdominal pain. Computed tomography imaging demonstrated a partial intestinal obstruction in the location of the terminal ileum. An ileo-ileal intussusception due to a mass lesion 15 cm proximal to the caecum was found on exploratory laparotomy. Intussusception was spontaneously reduced during exploration and a wedge resection was performed to the affected bowel segment. Histopathologic examination showed the mass to be an inflammatory fibroid polyp.


CONCLUSIONS
Although inflammatory fibroid polyps are rare and benign, in the case of intestinal obstruction the only solution is a surgical approach.
Toydemir
Toygar
T
Department of General Surgery, İstanbul Surgery Hospital, Ferah sokak no:18 nişantaşı, 34365 İstanbul/Turkey. toygartoydemir@hotmail.com.
Adv Ther. 2006 Jan-Feb;23(1):163-8
16644617
Dig Surg. 2007;24(3):162-8
17476106
Turk J Gastroenterol. 2004 Mar;15(1):59-62
15264125
Radiology. 1992 Mar;182(3):863-6
1535909
J Am Coll Surg. 1999 Apr;188(4):390-5
10195723
Radiology. 2003 Apr;227(1):68-72
12668740
Am J Pathol. 1949 May;25(3):397-411
18127133
Postgrad Med J. 2005 Mar;81(953):174-7
15749793
Radiol Clin North Am. 2003 Nov;41(6):1137-51
14661662