Royal College of Surgeons in Ireland
Browse
Inflammatory fibroid polyp of the small intestine presenting as small bowel obstruction with intussusception_ a case report.pdf (906.21 kB)

Inflammatory fibroid polyp of the small intestine presenting as small bowel obstruction with intussusception: a case report

Download (906.21 kB)
journal contribution
posted on 2024-03-19, 13:06 authored by Cian Hehir, Gavin Calpin, Gavin DowlingGavin Dowling, Chloe SpillaneChloe Spillane, Clive Kilgallen, Arnold HillArnold Hill

Inflammatory fibroid polyps (IFP) are rare benign neoplasms most commonly occurring within the respiratory tract but are rarely also observed in the gastro-intestinal tract. Herein we present the case of a 73-year-old female presenting with ileo-ileal intussusception secondary to IFP. The patient was treated with emergency laparotomy with segmental bowel resection and primary anastomosis. Histopathological analysis of the excised bowel segment initially revealed a low-grade, mural based spindle cell neoplasm with surrounding benign, reactive lymphadenopathy. Immunohistochemical analysis demonstrated that the lesional cells stained positive for Vimentin, Smooth Muscle Actin (SMA), and CD34. On secondary analysis of the specimen, the morphology and immunohistochemical profile of the mass was in keeping with IFP. No invasive malignancy was identified. Such cases have been previously reported under the pseudonym 'the great mimicker', due to their striking similarity to malignant processes. This case report aims to add to the small body of research reporting such atypical presentations. 

History

Comments

The original article is available at https://academic.oup.com/

Published Citation

Hehir C, Calpin G, Dowling G, Spillane C, Kilgallen C, Hill ADK. Inflammatory fibroid polyp of the small intestine presenting as small bowel obstruction with intussusception: a case report. J Surg Case Rep. 2024;2024(1):rjad695.

Publication Date

4 January 2024

PubMed ID

38186753

Department/Unit

  • Beaumont Hospital
  • Surgery
  • School of Medicine

Publisher

Oxford University Press

Version

  • Published Version (Version of Record)

Usage metrics

    Royal College of Surgeons in Ireland

    Licence

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC