Small bowel tumors, both benign and malignant, are rare lesions that clinicians often do not encounter, accounting for <2% of gastrointestinal malignancies. Usually benign small bowel tumors, including a polyp, are asymptomatic. Diagnosis of small bowel tumors is difficult because of delayed presentation, and nonspecific signs and symptoms. We report an incidentally detected case of a long pedunculated, large polyp of the terminal ileum, which protruded through the ileocecal valve into the cecum, that was removed by colonoscopy in a 41-year-old man with intermittent right-sided lower abdominal pain. The polyp was resected through snare polypectomy without complications. The histopathology of the resected polyp was confirmed as an ileal hyperplastic polyp. Two years later, there was no recurrence on post-polypectomy surveillance colonoscopy.
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