Adams Haley S, Bergstrom Brian, Haines Bret, Roberts Nathan
Department of Surgery, Oklahoma State University Medical Center, Tulsa, OK, USA.
Case Rep Surg. 2017;2017:6315934. doi: 10.1155/2017/6315934. Epub 2017 Nov 16.
Inflammatory fibroid polyp (IFP), or Vanek's tumor, is a rare benign lesion of the gastrointestinal tract. Clinical manifestations of IFP vary based on size and location within the GI tract. This case describes a patient who presented with hematochezia and abdominal pain. Computed tomography revealed ileoileal intussusception without a clear lead point. The patient underwent resection of the intussuscepted small bowel with primary anastomosis. A large polypoid mass was identified as the pathological lead point. Histopathological and immunohistochemical analysis revealed an IFP. Review of the literature indicates that early surgical intervention is the treatment of choice for intussusception caused by IFP. Lesions are typically reported as solitary, and resection is curative.
炎性纤维瘤性息肉（IFP），即瓦内克瘤，是一种罕见的胃肠道良性病变。IFP的临床表现因在胃肠道内的大小和位置而异。本病例描述了一名出现便血和腹痛的患者。计算机断层扫描显示回肠套叠，无明确的引导点。患者接受了套叠小肠切除术并进行了一期吻合。一个大的息肉样肿物被确定为病理引导点。组织病理学和免疫组化分析显示为IFP。文献回顾表明，早期手术干预是治疗由IFP引起的套叠的首选方法。病变通常报告为单发，切除可治愈。
