Obstructive ileus due to a giant fibroepithelial polyp of the anus

Abstract

Fibroepithelial polyps or hypertrophied anal papillae are essentially skin tags that project up from the dentate line and the junction between the skin and the epithelial lining of the anus. They are usually small in size, but sometimes they become enlarged, causing unexpected medical conditions. An extremely rare case of a giant hypertrophied anal papilla complicated by obstructive ileus is reported. Fibroepithelial anal polyp, despite its size, should be included in the differential diagnosis of a smooth mass located near the anal verge, especially in a patient with a history of chronic anal irritation or infection.

A Giant Fibroepithelial Polyp of the Small Bowel Associated with High-Grade Obstruction

“…There also has been a case of an anal fibroepithelial polyp treated with surgical resection because of associated obstructive ileus. 3 To our knowledge, this is the first case report of a giant fibroepithelial polyp presenting as a high-grade small bowel obstruction successfully managed with surgical resection.…”

“…2 Rarely, these polyps found in the anus have been associated with obstructive ileus of the gastrointestinal tract. 3 However, small bowel obstruction secondary to a fibroepithelial polyp of the small bowel has never been reported.…”

“…Unfortunately, the current body of literature primarily consists of case reports, and the biological mechanism of these tumors is largely unknown. Galanis et al 3 hypothesize reactive hyperplasia of the subepithelial connective tissue possibly because of repeated trauma to the area during passage of stool. This notion has been corroborated by a histological study of 40 cases of fibroepithelial polyp of the anus that showed morphological similarity to normal anal mucosa.…”

Fibroepitelyal Anal Polipler Ve Eşlik Eden Anal Hastalıklar

“…Küçük çaplı FAP'lerde belirgin bir semptom izlenmezken büyük olan FAP'lerde anüste kaşıntı, ağrı, kalıntı hissi, yabancı cisim hissi, kanama, ağrılı dışkılama gibi belirtiler görülebilmektedir [5,8,10]. Hatta obstrüktif ileusa bile neden olabilirler [11]. Bizim çalışmamızda en sık görülen belirtiler anüste ağrı ve kaşınma hissiydi.…”

A Symptomatic Anorectal Polyp

“…2 A prospective cohort study suggested that fibroepithelial polyps of anus should be removed during anal fissure surgery, which would add to effectiveness and completeness of the procedure, and improve symptoms and patient's satisfaction. 3 In conclusion, fibroepithelial polyp of anus is a benign disease, and endoscopic polypectomy could be an alternative choice of treatment if it becomes enlarged and symptomatic.…”