Open AccessIleo-ileal intussusception secondary to inflammatory fibroid polyp with initial presentation of bloody stool
Author(s) -
Li-Chun Kao,
Che-Jen Huang,
ChunChieh Wu,
C. S. Chang Chien,
FR Chang,
Jan-Sing Hsieh
Publication year - 2013
Publication title -
formosan journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 8
eISSN - 2213-5413
pISSN - 1682-606X
DOI - 10.1016/j.fjs.2012.10.004
Subject(s) - medicine , inflammatory fibroid polyp , intussusception (medical disorder) , exploratory laparotomy , ileocecal valve , bloody , laparotomy , differential diagnosis , presentation (obstetrics) , ileum , anastomosis , invagination , surgery , leiomyoma , radiology , pathology
SummaryAdult intussusception is relatively rare, and in most cases is associated with underlying pathology that draws attention to the condition. The most common initial presentation is a variety of obstructions. A 55-year-old man complained of bloody stools for 5 days. Ileoileal intussusception was suspected on abdominal computed tomography imaging. During exploratory laparotomy, an intussusception caused by a tumor was identified 50 cm proximal to the ileocecal valve, and segmental resection of the ileum with an end-to-end anastomosis was performed. The excised bowel segment had a polypoid submucosal mass, measuring 5.1 cm in size. Immunohistopathological examination revealed an inflammatory fibroid polyp. This case report shows that intussusceptions secondary to an inflammatory fibroid polyp, although rare in adults, should be considered in the differential diagnosis of bloody stools