Inflammatory Fibroid Polyp of the Small Intestine: A Case Report and Systematic Literature Review (original) (raw)
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Inflammatory Fibroid Polyp of the Gastrointestinal Tract: A Systematic Review for a Benign Tumor
In Vivo, 2021
Background/Aim: Inflammatory fibroid polyp (IFP) is a rare, usually solitary and intraluminal polypoid benign tumor that can affect any part of the gastrointestinal (GI) tract, although in the majority of cases it affects the stomach. This lesion is characterized by proliferation of highly vascular fibrous tissue and infiltration by a variable number of different inflammatory cells. Its etiology is unknown. Our aim was to describe all the reported data concerning IFP. Materials and Methods: An extensive search of the PubMed Index was performed for publications with titles or abstracts containing the terms: "inflammatory fibroid polyp" with/without "Vanek". Results were filtered for publications in English and concerning only humans. One hundred and twenty-four publications were finally included in this review. Results: IFP has a female predominance. It affects patients in their 5th decade of life, although there are cases of patients from 4 to 84 years of age. IFP usually affects the stomach and more specifically the gastric antrum but can be detected throughout the GI tract. A significant number of cases remain asymptomatic but
Journal of Case Reports, 2018
Inflammatory fibroid polyps (IFP) are benign mesenchymal tumors described first by Vanek, who reported a series of cases occurring in the gastric submucosa. Since then, there have been varying presentations of these benign tumors, many of them have shown to infiltrate into surrounding tissue and can cause significant symptoms including intestinal obstruction and intussusception. This can result in peritonitis and bowel necrosis, and can change the management of a typical bowel obstruction. Adult intussusceptions are rare, as this phenomenon occurs most often in infants and children. IFP can occur anywhere in the gastrointestinal tract but most commonly in stomach and small intestine. The largest IFP arising from the gastrointestinal tract described in English literature has been 15 cm at total length. Our case is unique in that it is the largest IFP reported to date occurring in the GI tract. Ayaz Ghani1, Saad Baqai2, Nayan Mainkar3, Hani El-Fanek2 Affiliations: 1Chief Resident, Dep...
Inflammatory Fibroid Polyp of Ileum : A Case Report
2018
DOI: 10.21276/sjams.2018.6.11.31 Abstract: Inflammatory fibroid polyps are benign tumors which arise from the submucosa of the stomach, small intestine, large intestine and oesophagus. They form polypoid lesion and present as intussusception or intestinal obstruction. Case history: We present a case of inflammatory fibroid polyp in a male patient of 52 years age. The polyp was arising from the lumen of ileum and presented as intestinal obstruction. Conclusion: Histopathological examination plays an important role in the diagnosis of intestinal fibroid polyp in cases presenting as intussusception or intestinal obstruction, as radiological and clinical features have no distinctive role in the diagnosis of these lesions.
Small bowel intussusception secondary to inflammatory fibroid polyp of the ileum: report of a case
Chirurgia italiana
Inflammatory fibroid polyps are rare benign lesions of uncertain origin, that may occur in many different locations in the gastrointestinal tract, the gastric antrum being the most common site, followed by the small bowel. These lesions can cause abdominal pain, gastrointestinal bleeding, intestinal obstruction or intussusception. In the case of a gastric inflammatory fibroid polyp in the presence of Helicobacter Pylori infection, the patient can benefit from pharmacological eradication of Helicobacter Pylori. In case of an intestinal inflammatory fibroid polyp causing acute abdomen, the treatment is surgical. In this paper we report a case of an adult male patient with ileal intussusception due to an inflammatory fibroid polyp. A 62-year-old male patient presenting with acute abdomen underwent an exploratory laparotomy. At surgery an ileal tumour 15 cm from the ileocecal valve causing ileoileal intussusception was found. The intussuscepted segment was resected and an end-to-end ana...
Unexpected Intussusception Caused by Giant Inflammatory Fibroid Polyp: Case Report
2016
Inflammatory fibroid polyps (Vanek’s tumor) are non-frequent benign lesions, described by Josef Vanek in 1949, that originate in the submucosa of the gastrointestinal tract and usually reach 1 to3 cm. They are generally seen in the stomach and the small intestines, and are less common in the colon and the esophagus. Inflammatory fibroid polyps (IFPs) are one of the rare conditions leading to intestinal obstruction in adults. A differential diagnosis includes gastrointestinal stromal tumor, small intestine lymphoma, and small intestine cancer. We presented here a case with a giant inflammatory fibroid polyp of the terminal ileum causing intussusception.
Ileal inflammatory fibroid polyp causing ileocolic intussusception
JBR-BTR : organe de la Société royale belge de radiologie (SRBR) = orgaan van de Koninklijke Belgische Vereniging voor Radiologie (KBVR)
Inflammatory Fibroid Polyp (IFP) is an extremely rare tumour involving the gastrointestinal tract (GI) and especially the stomach and small bowel. It presents either as a solitary large or sessile lesion arising from the submucosa and despite a large size and sometimes infiltrating growth, the tumour is always benign and has a good prognosis. Histogenesis remains unknown and controversial. We report an ileal case presenting classically and typically with ileocolic intussusception. Diagnosis was made preoperatively with abdominal mdCT. The polyp itself does not have noteworthy radiological signs but must be included in the large essentially histological differential diagnosis of GI tumours.
Inflammatory fibroid polyp. A case report and review of the literature
Annali italiani di chirurgia
The Inflammatory fibroid polyp (IFP) is a mesenchymal polypoid lesion of the gastrointestinal tract that follows a benign course. Incidence is extremely low: from 0,1% to 2 %. Histologically, it consists of a sub mucous proliferation of vascolarized fibromuscolar tissue with a high eosinophils inflammatory infiltration. IFP can arise everywhere in the gastrointestinal tract but is described more frequently in the gastric antrum (70%). We report a case of a 71-year-old woman presented to our department with a worsening history of lack's appetite, nausea and early satiety. We performed a review of the literature from 1949 to 2011. 196 cases of IFPs were found. Clinical symptoms are heterogeneous and endoscopy's examination revealed only presence of a sub-mucosal lesion, and their biopsies often gave not diagnostic localization. In the differential diagnosis, it's important to discern between eosinophilic gastroenteritis, gastrointestinal stromal tumor, inflammatory pseudot...
Giant inflammatory fibroid polyp of ileum causing intussusception: a case report
Cases Journal, 2009
Inflammatory fibroid polyps are rare, localized, non-neoplastic lesions originating in the submucosa of the gastrointestinal tract. Intussusception due to inflammatory fibroid polyps is uncommon; moreover, ileo-ileal intussusception has only rarely been reported. Here, we report an 11 × 7 cm giant inflammatory fibroid polyp of the small bowel that presented as intussusception in a 73-year-old woman. Ultrasonography demonstrated a solid, homogeneous, echogenic mass surrounded by the typical mural layers of an invaginated ileum. The immunohistopathological diagnosis after segmental ileal resection was an ileal inflammatory fibroid polyp. Although encountered rarely in adults, physicians should be aware of invagination and consider it in each case of acute abdomen because of the wide spectrum of clinical settings.
Intussusception due to inflammatory fibroid polyp located at ileum: report of two cases
TURKISH JOURNAL OF …, 2007
Inflammatory fibroid polyps are uncommon gastrointestinal tract lesions. The stomach and ileum are the most commonly affected sites. Clinical symptoms depend on the location and size of the lesion. Obstruction or intussusception is the most frequent initial symptom when an inflammatory fibroid polyp is located in the small intestine. We describe two cases of inflammatory fibroid polyps of the small intestine causing ileocecal and ileoileal intussusception.