Giant Ileal Polyp Causing Ileocolic Intussusception (original) (raw)

Case Reports in Clinical Medicine, 2017

Abstract

A 55-year-old man presented with intermittent colicky abdominal pain for few months. The severity of pain increased over last 3–4 weeks. Physical examination revealed lump over right iliac and lumbar region. Colonoscopy showed a large polyp occupying almost entire lumen of colon extending from terminal ileum to hepatic flexure of colon. Contrast enhanced computed tomography (CT) of abdomen confirmed the findings of colonoscopy and revealed a large polyp arising from ileum and occupying the entire lumen of ascending colon resulting in ileocolic intussusception. As endoscopic resection was rendered unsafe due to limited working space, the patient underwent surgery and giant polyp was removed. Histopathology and immunohistochemistry of the polyp showed features of Inflammatory Fibroid Polyp (IFP). IFPs are rare benign tumors with varied presentations and should be considered in such cases where gigantic polyps are encountered during imaging (colonoscopy or radiological imaging). Smalle...

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