title: Massive gastrointestinal bleeding caused by a giant gastric inflammatory fibroid polyp: A case report.
abstract: BACKGROUND
  Inflammatory fibroid polyps (IFPs) are rare and small benign lesions throughout the digestive tract. The most common location is gastric antrum, but rarely at the upper part. Clinical manifestations of IFPs usually include intestinal obstruction, intussusception, abdominal pain, nausea and vomiting, but rare massive digestive tract hemorrhage.
  
  
  METHODS
  We describe a rare case presenting with massive gastrointestinal bleeding due to a huge gastric fundus IFP (11cm). Finally, the patient was treated successfully by the laparoscopic assisted partial gastrectomy (LAPG) and recovered uneventfully. To our knowledge, this is the first reported case presenting with massive alimentary tract hemorrhage due to giant gastric fundus IFP.
  
  
  CONCLUSIONS
  Giant IFP rarely originates in the gastric fundus, but occasionally results in serious consequence, such as massive gastrointestinal bleeding. It is important to recognize IFP because it responds favorably to operation with no relapse or metastasis.
  
  
  CONCLUSIONS
  In the differential diagnosis of alimentary hemorrhage of uncertain etiology, gastric IFP should be considered. For huge gastric IFP, laparoscopic therapy is an apt choice.
authors.affiliation: Key laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Minimally Invasive Gastrointestinal Surgery, Peking University Cancer Hospital & Institute, Beijing 100142, China. Electronic address: chenghai.zlyy@gmail.com.
authors.forename: Chenghai
authors.initials: C
authors.lastname: Zhang
authors.affiliation: Key laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Minimally Invasive Gastrointestinal Surgery, Peking University Cancer Hospital & Institute, Beijing 100142, China. Electronic address: doctor_cui2008@sina.com.
authors.forename: Ming
authors.initials: M
authors.lastname: Cui
authors.affiliation: Key laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Minimally Invasive Gastrointestinal Surgery, Peking University Cancer Hospital & Institute, Beijing 100142, China. Electronic address: Jiadixing@hotmail.com.
authors.forename: Jiadi
authors.initials: J
authors.lastname: Xing
authors.affiliation: Department of Pathology, Peking University Cancer Hospital & Institute, Beijing 100142, China. Electronic address: shiyunfei@126.com.
authors.forename: Yunfei
authors.initials: Y
authors.lastname: Shi
authors.affiliation: Key laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Minimally Invasive Gastrointestinal Surgery, Peking University Cancer Hospital & Institute, Beijing 100142, China. Electronic address: suxiangqian@bjmu.edu.cn.
authors.forename: Xiangqian
authors.initials: X
authors.lastname: Su
keywords: Alimentary hemorrhage; Inflammatory fibroid polyp; Laparoscopy; Stomach
references.citation: Virchows Arch. 2009 Mar;454(3):327-31
references.pmid: 19189127
references.citation: World J Gastroenterol. 2004 Feb 1;10(3):460-2
references.pmid: 14760782
references.citation: Intern Med. 2008;47(4):259-62
references.pmid: 18277026
references.citation: Endoscopy. 2012;44 Suppl 2 UCTN:E86-7
references.pmid: 22396297
references.citation: World J Gastroenterol. 2012 Oct 28;18(40):5745-52
references.pmid: 23155316
references.citation: Am J Surg Pathol. 2004 Jan;28(1):107-14
references.pmid: 14707872
references.citation: Clin Endosc. 2012 Sep;45(3):198-201
references.pmid: 22977801
references.citation: Chin Med J (Engl). 2013 Jul;126(13):2594
references.pmid: 23823846
references.citation: Am J Surg Pathol. 2013 Apr;37(4):586-92
references.pmid: 23426127
references.citation: Cases J. 2009 Aug 12;2:8616
references.pmid: 19918392
references.citation: Intern Med. 2008;47(23):2029-31
references.pmid: 19043255
references.citation: Surg Gynecol Obstet. 1953 Mar;96(3):335-67
references.pmid: 13038651
references.citation: Intern Med. 2005 Jan;44(1):46-9
references.pmid: 15704662
references.citation: Chirurgia (Bucur). 2010 Jan-Feb;105(1):137-40
references.pmid: 20405696
references.citation: Dig Surg. 2007;24(3):162-8
references.pmid: 17476106
references.citation: World J Gastroenterol. 2007 Jul 21;13(27):3765-6
references.pmid: 17659744
references.citation: Intern Med. 2003 Mar;42(3):259-62
references.pmid: 12705791
references.citation: Am J Pathol. 1949 May;25(3):397-411
references.pmid: 18127133
references.citation: Gastrointest Endosc. 2009 Jan;69(1):188; author reply 188-9
references.pmid: 19111705