Ahtil Redouane, Bensghir Mustapha, Meziane Mohammed, Houba Abdelhafid, Jaafari Abelhamid, Lalaoui Salim Jaafar, Haimeur Charki
Service d'Anesthésiologie, Hôpital Militaire Med V, Université Souissi Med V, Rabat, Maroc.
Pan Afr Med J. 2017 Mar 14;26:146. doi: 10.11604/pamj.2017.26.146.10775. eCollection 2017.
Inflammatory fibroid polyp (IFP) is a rare benign lesion, originating from the submucosa in the gastrointestinal tract. It generally appears as an isolated benign lesion, rarely located at the level of the ileum. Its origin is controversial. Clinical presentation varies depending on its location; invagination and obstruction are the most common indicative symptoms when the polyp is located at the level of the small intestine. We report the case of a 22-year old patient with abdominal pain, nausea and vomiting and a personal history of intermittent constipation and a weight loss during the previous year. Radiological imaging objectified ileo-ileal invagination completely obstructing the ileum light. Segmental resection of the obstructed ileal segment and termino-terminal anastomosis were performed. The final diagnosis of IFP was established using histological examination and immunohistochemical investigation.
炎性纤维瘤性息肉（IFP）是一种罕见的良性病变，起源于胃肠道黏膜下层。它通常表现为孤立的良性病变，很少位于回肠水平。其起源存在争议。临床表现因位置而异；当息肉位于小肠水平时，肠套叠和梗阻是最常见的指示性症状。我们报告一例22岁患者，有腹痛、恶心和呕吐症状，既往有间歇性便秘病史且前一年体重减轻。放射影像学检查证实回肠-回肠套叠完全阻塞回肠肠腔。对阻塞的回肠段进行了节段性切除并端端吻合。通过组织学检查和免疫组化研究确立了IFP的最终诊断。
