Ileal Inflammatory Fibroid Polyp: A Rare Cause of Obscure Gastrointestinal Bleeding Diagnosed by Wireless Capsule Endoscopy

Kim, Sang Gyun; Choi, Kwang Woo; Kim, Joosung; Jung, Hyun Chae; Song, In Sung

doi:10.1007/s10620-006-9338-3

Cited by 5 publications

(3 citation statements)

References 14 publications

(9 reference statements)

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“…The most accurate diagnostic study is abdominal CT scanning as it usually defines the lead point [ 33 ], as was in our case. Capsule endoscopy and retrograde double balloon enteroscopy are the new recent techniques that can be useful in the diagnosis [ 34 , 35 ]. The final diagnosis is made after pathologic confirmation following surgical resection [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Vanek's tumor as an unusual cause of ileo-ileal intessuception – A unique case report

Jan

Muslim

Ullah

et al. 2018

Annals of Medicine and Surgery

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Background and aimVanek's tumor is a rare solitary lesion that is non-neoplastic, and arises from the submucosa of the gut. The most commonly affected sites are the stomach and the ileum [1]. IFP causing intestinal obstruction is uncommon and that ileo-ileal intussusception has been reported in the literature rarely. We present a case of an ileo-ileal intessuception in a patient who presented with acute on chronic pain abdomen and anorexia. CT abdomen & pelvis revealed a 46 × 36 mm intraluminal mass in the left iliac fossa causing ileo-ileal intussusception.Case presentationA 60 years old gentleman was brought to the A&E with a history of intestinal obstruction. He was examined and admitted to the surgical unit. CBC revealed unique feature of reactive thrombocytosis apart from a low hemoglobin and a raised TLC. His CT scan demonstrated findings of ileo-ileal intussusception. After an informed written consent, patient underwent an exploratory laparotomy and had resection and anastomosis of the bowel. Histopathology of the specimen revealed findings compatible with IFP. Patient made an uneventful recovery post-operatively and was sent home in the next few days. On follow-up, the patient was doing well and had no complaints of abdominal pain or anorexia.ConclusionVanek's tumor although a rare entity, should be considered in each case of acute abdomen and physicians and surgeons need to have a high degree of suspicion in such cases. Moreover, IFP can cause reactive thrombocytosis that gets resolved after a post-operative period of 6–8 weeks.

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Section: Discussionmentioning

confidence: 99%

Vanek's tumor as an unusual cause of ileo-ileal intessuception – A unique case report

Jan

Muslim

Ullah

et al. 2018

Annals of Medicine and Surgery

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“…Most IFPs in the small intestine reported in the literature to date have been found to cause bowel obstruction as a result of intussusception [ 9 ]. However, only a few cases of IFP in the small intestine with OGIB on endoscopic and imaging tests have been reported [ 10 , 11 ]. Sami presented an overview of the literature on cases of intussusception due to IFP that were reported between 1976 and 2011.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Resection of a Jejunal Inflammatory Fibroid Polyp that Caused Occult Gastrointestinal Bleeding, Diagnosed via Capsule Endoscopy and Double-Balloon Enteroscopy: A Case Report

et al. 2018

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An inflammatory fibroid polyp (IFP) is a mesenchymal tumor of the gastrointestinal tract. IFPs in the small intestine are the most frequently detected with symptoms, such as abdominal pain and tarry stool due to intussusception. Accordingly, few studies have reported jejunal IFP as a cause of occult gastrointestinal bleeding (OGIB) diagnosed via both of capsule endoscopy (CE) and double-balloon enteroscopy (DBE). A 68-year-old woman presented with a progression of anemia and a positive fecal occult blood test result. Esophagogastroduodenoscopy and total colonoscopy findings were unremarkable. CE revealed a tumor with bleeding in the jejunum. DBE also revealed a jejunal polypoid tumor. Bleeding from the tumor seemed to have caused anemia. The patient underwent partial laparoscopic resection of the jejunum, including resection of the tumor. The tumor was histopathologically diagnosed as IFP. To our knowledge, this is the first reported case of laparoscopic resection of jejunal IFP with OGIB diagnosed via CE and DBE preoperatively.

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“…9-13, 16, 19, 21-23, 25, 26, 29, 30, 32, 34-38, 40-43, 45-49, 53-55].Regarding diagnostic methods, CT was frequently used as the primary diagnostic method (26%)[9, 10, 12, 13, 15-17, 23, 24, 27, 28, 30, 35, 48, 49, 51, 53] followed by exploratory laparotomy(16,9%) [14,29,39,46,47,54], endoscopy (7,8%)[22,31,38,56,58,61] and US (6.5%)…”

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confidence: 99%

Inflammatory Fibroid Polyp of the Small Intestine: A Case Report and Systematic Literature Review

Ivaniš¹,

Tomas

Vranić

et al. 2020

JGLD

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Aim: Starting from a case presentation, this review aims to present literature data on inflammatory fibroid polyps (IFPs) of the small intestine. Methods: Case report and systematic review. A comprehensive systematic review of English literature using PubMed was conducted, based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The used key words were: “inflammatory fibroid polyp” or “Vanek”, including only cases with IFPs localized of the small intestine, published from 1976 to 2019. Results: We present a case of a 38-year old patient with intestinal IFP presenting with acute abdomen due to intussusception diagnosed with ultrasound (US) based on a target sign and visible solid tumor in the small intestine leading to prompt surgical treatment. A diagnosis of IFP was made based on the pathohistological findings. Moreover, a systematic review of small intestine IFPs was conducted which is, to our knowledge, the first comprehensive systematic literature review on this topic. The analysis included 53 case reports or case series concerning 77 cases of small bowel IFPs. The patients were aged from 4 to 75 years (average 45.2), with a female predominance (59.7%). The most common localization was the ileum in 77.9% cases, followed by the jejunum (13%) and the duodenum (6.5%). The most common clinical presentation was abdominal pain due to intussusception (63.6%). Regarding diagnostic methods, computed tomography (CT) was frequently used as primary diagnostic method (26%) followed by exploratory laparotomy (16.9%), endoscopy (7.8%) and US (6.5%). Combination of US and CT contributed to the diagnosis in 9.1% of cases. The majority of cases were treated surgically (92.21%), while only a minority benefited of minimally invasive techniques such as endoscopy. Conclusions: Small bowel IFPs, ones of the least common benign tumors, are characterized by variable clinical signs and symptoms and can potentially lead to serious consequences for the patient.

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Ileal Inflammatory Fibroid Polyp: A Rare Cause of Obscure Gastrointestinal Bleeding Diagnosed by Wireless Capsule Endoscopy

Cited by 5 publications

References 14 publications

Vanek's tumor as an unusual cause of ileo-ileal intessuception – A unique case report

Vanek's tumor as an unusual cause of ileo-ileal intessuception – A unique case report

Laparoscopic Resection of a Jejunal Inflammatory Fibroid Polyp that Caused Occult Gastrointestinal Bleeding, Diagnosed via Capsule Endoscopy and Double-Balloon Enteroscopy: A Case Report

Inflammatory Fibroid Polyp of the Small Intestine: A Case Report and Systematic Literature Review

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