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Войти в исследования Acta chirurgica Belgica · 2012
Adult intussusception caused by an inflammatory fibroid ileal polyp.
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Rabbani K, Narjis Y, Jgounni R, Semlani Z, Difaa A, Benelkhaiat R, Louzi A, Finech B
Аннотация
BACKGROUND: Inflammatory fibroid polyps (IFPs) are rare benign lesions of uncertain origin that may occur in various parts of the gastrointestinal tract that originate from the sub mucosa located in different sites of the digestive tract. They are commonly located in the stomach and small bowel. It is one of the probable diagnoses that should be considered in obstructive tumors of the small intestine causing invagination.
METHODS: A case of IFP is presented, causing intestinal invagination in an 39-year-old female patient, admitted with abdominal distension and pain.
RESULT: Computerised tomography imaging (CT) demonstrated intussusception of the small bowel. Exploratory laparotomy revealed a bowel intussusception. An ileo-ileal anastomosis was performed after resection of the tumoral segment. Histology of the resected small bowel revealed an inflammatory fibroid polyp.
CONCLUSIONS: intussusception secondary to IFPs of the small intestine are difficult to diagnose without recognition of its clinical and pathological characteristics. CT is useful in confirming an anatomical abnormality, histological examination establishes the final diagnosis of IFPs.
METHODS: A case of IFP is presented, causing intestinal invagination in an 39-year-old female patient, admitted with abdominal distension and pain.
RESULT: Computerised tomography imaging (CT) demonstrated intussusception of the small bowel. Exploratory laparotomy revealed a bowel intussusception. An ileo-ileal anastomosis was performed after resection of the tumoral segment. Histology of the resected small bowel revealed an inflammatory fibroid polyp.
CONCLUSIONS: intussusception secondary to IFPs of the small intestine are difficult to diagnose without recognition of its clinical and pathological characteristics. CT is useful in confirming an anatomical abnormality, histological examination establishes the final diagnosis of IFPs.