Akbulut Sami, Sevinc Mert Mahsuni, Cakabay Bahri, Bakir Sule, Senol Ayhan
Department of Surgery, Diyarbakir Education and Research Hospital, Diyarbakir 21400, Turkey.
Cases J. 2009 Aug 12;2:8616. doi: 10.4076/1757-1626-2-8616.
Inflammatory fibroid polyps are rare, localized, non-neoplastic lesions originating in the submucosa of the gastrointestinal tract. Intussusception due to inflammatory fibroid polyps is uncommon; moreover, ileo-ileal intussusception has only rarely been reported. Here, we report an 11 x 7 cm giant inflammatory fibroid polyp of the small bowel that presented as intussusception in a 73-year-old woman. Ultrasonography demonstrated a solid, homogeneous, echogenic mass surrounded by the typical mural layers of an invaginated ileum. The immunohistopathological diagnosis after segmental ileal resection was an ileal inflammatory fibroid polyp. Although encountered rarely in adults, physicians should be aware of invagination and consider it in each case of acute abdomen because of the wide spectrum of clinical settings.
炎症性纤维瘤性息肉是起源于胃肠道黏膜下层的罕见、局限性、非肿瘤性病变。由炎症性纤维瘤性息肉引起的肠套叠并不常见；此外，回肠-回肠套叠仅有极少的报道。在此，我们报告一例11×7cm的小肠巨大炎症性纤维瘤性息肉，该息肉在一名73岁女性中表现为肠套叠。超声检查显示一个实性、均匀、回声性肿块，被套叠回肠的典型壁层所环绕。节段性回肠切除术后的免疫组织病理学诊断为回肠炎症性纤维瘤性息肉。尽管在成人中很少见，但由于临床情况广泛，医生应意识到肠套叠并在每一例急腹症中加以考虑。
