Nkanza N K, King M, Hutt M S
Br J Surg. 1980 Apr;67(4):271-4. doi: 10.1002/bjs.1800670414.
Eleven cases of inflammatory fibroid polyp of the ileum from Malawi and 1 from Sierra Leone are described. All 12 patients presented with acute intestinal obstruction as a result of an intussusception caused by the polyp. The lesions are characterized by a variable proliferation of fibroblasts and small vessels which may involve the whole thickness of the bowel wall. Tissue mast cells and eosinophils were noted in the polyps. The aetiology of these lesions remains obscure but they appear to be reactive rather than neoplastic. The condition appears to occur more commonly in Malawi than in the United Kingdom or North America and is an important cause of small bowel obstruction in that part of Africa.
本文描述了来自马拉维的11例回肠炎性纤维性息肉病例以及来自塞拉利昂的1例病例。所有12例患者均因息肉引起肠套叠而出现急性肠梗阻。病变的特征是成纤维细胞和小血管的不同程度增生,可累及肠壁全层。息肉中可见组织肥大细胞和嗜酸性粒细胞。这些病变的病因仍不清楚,但似乎是反应性的而非肿瘤性的。这种疾病在马拉维似乎比在英国或北美更常见,是非洲该地区小肠梗阻的一个重要原因。