Yeungnam Univ J Med.  2020 Jul;37(3):226-229. 10.12701/yujm.2019.00388.

Synchronous ileal inflammatory fibroid polyp and Meckel’s diverticulum found during laparoscopic surgery for adult intussusception

• Kang SI
• Gu MJ

• KMID: 2506522
• DOI: http://doi.org/10.12701/yujm.2019.00388

Abstract

We present a rare case of synchronous ileal inflammatory fibroid polyp and Meckel’s diverticulum detected during laparoscopic surgery for adult intussusception. A 48-year-old woman presented with sudden onset of severe abdominal pain. Abdominal computed tomography revealed a segment of ileocecal intussusception. Thus, laparoscopic exploration was performed, which revealed an ileal mass with an outpouching closed luminal structure in the distal ileum. Two abnormal structures were resected via mini-laparotomy, and the patient was discharged without postoperative complications. Histopathological examination confirmed an ileal inflammatory fibroid polyp and Meckel’s diverticulum with ectopic pancreatic tissue.

Keyword

Intestinal obstruction; Intestinal polyps; Intussusception; Meckel diverticulum

Figure

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  Fig. 1. Abdominal computed tomography scan shows ileocecal intussusception (arrow) with proximal small bowel obstruction. (A) Axial view. (B) Coronal view.

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  Fig. 2. Intraoperative laparoscopic images. (A) An intraluminal mass (arrow) is observed in the distal ileum approximately 30 cm from the ileocecal valve. (B) An outpouching closed luminal structure (arrow) is observed on the anti-mesenteric side wall of the ileum, located approximately 70 cm from the ileocecal valve. (C) The affected ileum is retracted via mini-laparotomy.

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  Fig. 3. Gross and microscopic findings of inflammatory fibroid polyp. (A) A well-demarcated submucosal mass is present. (B) It shows loose myxoid fibrous tissue and (C) proliferation of oval to spindle-shaped cell and scattered eosi nophils (hematoxylin and esoin stain, ×40 [B] and ×100 [C]).

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  Fig. 4. Gross and microscopic findings of Meckel's diverticulum. (A) Meckel’s diverticulum with an outpouching, closed luminal structure is present in the distal ileum. (B) It shows small intestinal mucosal lining with submucosal pancreatic tissue (hematoxylin and eosin stain, ×10).

Reference

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