Adult intussusception generally has a distinct pathological cause as a lead point. Inflammatory fibroid polyp (IFP) is a rare non-neoplastic submucosal lesion, furthermore, that polyp causing ileocolic intussusception in an adult is even rarer. Here we present a case of a 32-year-old female who presented with complaints of intermittent colicky pain associated with vomiting for 3 days. Computer tomography (CT) showed bowel obstruction caused by an ileocolic intussusception. Laparotomy with ileo-transverse anastomosis was done. Histopathological and immunohistochemistry (IHC) revealed that the cause of the intussusception was a rare inflammatory fibroid polyp. A benign condition being the cause of intussusception in an adult and the clinical symptoms were nonspecific posing clinical challenges makes this interesting case worthy of reporting.
Cystic nephroma (CN) is an uncommon benign renal tumor with a bimodal age distribution. It often presents with non-specific presenting symptoms. In this study, we report a case of a 14-year-old female patient who presented with a painless abdominal mass, and a left renal cystic lesion was detected on CECT KUB. Left partial nephrectomy was done and a diagnosis of CN made following the histopathological examination of specimen. Owing to its non-specific clinical presentation and radiological findings, it is difficult to distinguish CN from other cystic lesions of kidney like cystic partially differentiated nephroblastoma, tubule-cystic renal cell carcinoma, cystic Wilm’s tumor etc., pre-op. This study emphasizes importance of histopathological examination in diagnosis of CN to prevent misdiagnosis and overtreatment. Although it has good prognosis, long term follow-up for local recurrence is recommended.
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