Polype fibro-inflammatoire de l'iléon révélé par une invagination. À propos d'un cas familial

Bayle, S.; Rossi, Piero; Bagnères, D.; Demoux, A.-L.; Ashero, A.; Dalès, Jean-Philippe; Vitton, Véronique; Francès, Y.; Granel, B.

doi:10.1016/j.revmed.2004.10.030

Cited by 10 publications

(5 citation statements)

References 13 publications

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“…We carried out a resection of the invaginated loop in a supposedly healthy area followed by reestablishment of digestive continuity by an end-to-end ileo-ileal anastomosis, an appendectomy plus parietal closure plane by plane on a drain in the Douglas fir and dressing. The immediate postoperative course of the diagnosis of intussusceptions in adults, particularly in mildly symptomatic patients; it makes it possible to define the location, the nature and sometimes the cause [8,9]. Abdominal ultrasound has been the reference examination for several years, it highlights intestinal intussusception in 60% of cases, limited by the abundance of gas due to intestinal obstruction and it is operator-dependent.…”

Section: Observationmentioning

confidence: 99%

Acute Intestinal Obstruction by Intussusception at the Communal Medical Center of Ratoma About A Case

Sayon Karifa,

Abdoulaye,

Mariama II

et al. 2024

Sur Res J

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Acute intestinal obstruction by intussusception is defined by a cessation of materials and gases due to the penetration of an intestinal segment into the segment immediately adjacent to it . We report a case of intussusception concerning a 26 year old lady, admitted to the General Surgery department of the Ratoma Communal Hospital for acute intestinal obstruction, in whom an unprepared abdominal X-ray was performed which revealed central hydroaeric levels multiple steps and a biological assessment before being taken to the operating room. Intraoperatively, inflammatory fluid leaked and exploration revealed catarrhal appendicitis and an ileo-ileal intussusception located 6 cm from the ileocecal angle, the disinvagination of which revealed a thickening of the wall of the invaginated loop and a mass of approximately 1 cm. We performed a resection of the invaginated loop followed by reestablishment of end to end ileo-ileal digestive continuity and an appendectomy. The postoperative course was simple.

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Section: Observationmentioning

confidence: 99%

Acute Intestinal Obstruction by Intussusception at the Communal Medical Center of Ratoma About A Case

Sayon Karifa,

Abdoulaye,

Mariama II

et al. 2024

Sur Res J

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“…Clustering of multiple small-bowel IFPs has been documented in two families [16, 47] and is called the ‘Devon polyposis syndrome’. There were no local recurrences following 15 operations, but all the women in both series developed multiple IFPs at other sites within the small bowel [14, 16, 48].…”

Section: Treatmentmentioning

confidence: 99%

“…There were no local recurrences following 15 operations, but all the women in both series developed multiple IFPs at other sites within the small bowel [14, 16, 48]. No patient with this syndrome has been treated for a duodenal IFP.…”

Section: Treatmentmentioning

confidence: 99%

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Inflammatory Fibroid Polyps of the Duodenum: A Review of the Literature

2007

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Background/Aim: An inflammatory fibroid polyp (IFP) is a rare benign submucosal gastro-intestinal lesion with an uncertain origin and natural history. An IFP was first described in the stomach and is rare in the duodenum. Presenting signs and symptoms vary according to anatomical site. This systematic literature review was prompted by the recent presentation of a patient with biliary obstruction caused by a duodenal IFP. Methods: A review of all duodenal IFPs identified in the PubMed database from 1971 onwards is presented within the context of what is known about the lesion at other gastro-intestinal sites. Results: Of approximately 1,000 IFP cases identified, 70% were of gastric origin, and fewer than 1% occurred in the duodenum. Duodenal IFPs typically present with non-specific features, and no pre-operative diagnoses of lesions at this site have been made. Microscopy reveals spindle-shaped cells, prominent capillaries, and an inflammatory cell filtrate. Immunohistochemistry shows the lesions to be CD34 and vimentin positive, but CD117, S100, and factor VIII negative. Local recurrence is most unusual following complete resection. Conclusions: This rare benign entity in the duodenum should be included in the differential diagnosis of all peripancreatic masses. The advent of endoscopic ultrasound may allow pre-operative diagnosis of the lesion in the duodenum, enabling local resection and potentially avoiding unnecessary pancreatoduodenectomy.

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“…Moreover, a germline PDGFRA -mutant individual bearing multiple IFPs (and a likely PDGFRA -unrelated GIST hosting a somatic KIT mutation) has been reported very recently [ 72 ]; this individual shares both germline defect and geographical origin with one of the above mentioned kindreds [ 48 ], and is therefore probably related to it. Finally, three families featuring multiple IFPs have been described without PDGFRA genotyping [ 73 – 76 ]. PDGFRA -mutant syndrome is the term proposed for defining this clinical spectrum [ 48 ], formerly termed “intestinal neurofibromatosis/neurofibromatosis 3b” [ 71 , 77 , 78 ].…”

Section: Introductionmentioning

confidence: 99%

Syndromic gastrointestinal stromal tumors

Ricci

2016

Hered Cancer Clin Pract

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Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasms of gastrointestinal tract. They feature heterogeneous triggering mechanisms, implying relevant clinical differences. The vast majority of GISTs are sporadic tumors. Rarely, however, GIST-prone syndromes occur, mostly depending on heritable GIST predisposing molecular defects involving the entire organism. These conditions need to be properly identified in order to plan appropriate diagnostic, prognostic and therapeutic procedures.Clinically, GIST-prone syndromes must be thought of whenever GISTs are multiple and/or associated with accompanying signs peculiar to the background tumorigenic trigger, either in single individuals or in kindreds. Moreover, syndromic GISTs, individually considered, tend to show distinctive features depending on the underlying condition. When applicable, genotyping is usually confirmatory.In GIST-prone conditions, the prognostic features of each GIST, defined according to the criteria routinely applied to sporadic GISTs, combine with the characters proper to the background syndromes, defining peculiar clinical settings which challenge physicians to undertake complex decisions. The latter concern preventive therapy and single tumor therapy, implying possible surgical and molecularly targeted options.In the absence of specific comprehensive guidelines, this review will highlight the traits characteristic of GIST-predisposing syndromes, with particular emphasis on diagnostic, prognostic and therapeutic implications, which can help the clinical management of these rare diseases.

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Polype fibro-inflammatoire de l'iléon révélé par une invagination. À propos d'un cas familial

Cited by 10 publications

References 13 publications

Acute Intestinal Obstruction by Intussusception at the Communal Medical Center of Ratoma About A Case

Acute Intestinal Obstruction by Intussusception at the Communal Medical Center of Ratoma About A Case

Inflammatory Fibroid Polyps of the Duodenum: A Review of the Literature

Syndromic gastrointestinal stromal tumors

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