Inflammatory Fibroid Polyp Causing Intestinal Obstruction following Restorative Proctocolectomy for Ulcerative Colitis

the abdomen ( fig. 1 ) demonstrated some fluid levels with evidence of a mass (arrow) in the pelvic region. A CT scan of the abdomen ( fig. 2 ) showed a 4-cm roundish mass occupying three-quarters of the intestinal loop proximal to the ileal pouch (arrow). An enteroscopy confirmed the presence of a polypoid sessile lesion with mucosal edema and hyperemia. A 44-year-old woman was admitted to our department for intestinal obstruction. Two years earlier the patient had undergone laparoscopic restorative proctocolectomy for steroid-resistant ulcerative colitis with a normal follow-up. At admission she presented with a 3day history of vomiting, cramping abdominal pain and rectal bleeding. The plain supine and erect radiograph of Published online: July 8, 2009