Korean J Gastrointest Endosc.  2005 May;30(5):281-285.

A Case of Inflammatory Fibroid Polyp of the Cecum Causing Intussusception

• Park SY
• Kang HG
• Lee HJ
• Na GJ
• Yi CY
• Lee DH
• Lee TY
• Kim SH
• Song CS
• Kim MS
• Seo JY

Abstract

Inflammatory fibroid polyp is a polypoid lesion of the gastrointestinal tract, composed of fibrous tissue, blood vessels, and inflammatory infiltration often dominated by eosinophilic leukocytes. It is infrequent, localized, and non-neoplastic condition. It is most often formed in the gastric antrum and ileum, and rarely in the esophagus, small bowel or colon. The polyp in the stomach is mainly located in the submucosa of the antrum, and may cause intermittent epigastric pain, vomiting, antral obstructive symptoms or rarely bleeding. When present in small bowel, it is usually localized in the ileum and presents with obstructive symptoms but clincal manifestations are different according to the location. Intussusception resulting from the mass is not common. We report a case of inflammatory fibroid polyp of the cecum causing intussusception. A 42-year-old male patient was referred to the hospital for the evaluation of right lower quadrant abdominal pain and palpable mass. A contrast-enhanced CT scan of the whole abdomen and colonoscopic examination revealed intussusception with a cecal mass. Inflammatory fibroid polyp causing intussusception was histologically confirmed by surgical wedge resection.

Keyword

Inflammatory fibroid polyp; Intussusception; Cecum

MeSH Terms

Abdomen
Abdominal Pain
Adult
Blood Vessels
Cecum*
Colon
Eosinophils
Esophagus
Gastrointestinal Tract
Hemorrhage
Humans
Ileum
Intussusception*
Leiomyoma*
Leukocytes
Male
Polyps*
Pyloric Antrum
Stomach
Tomography, X-Ray Computed
Vomiting