Tuesday 28 August 2012

Small bowel intussusception secondary to inflammatory fibroid polyp of the ileum






Inflammatory fibroid polyps are rare benign lesions of uncertain origin,
That may occur in many different locations in the gastrointestinal tract, the gastric antrum being the most common site, followed by the small bowel.
 These lesions can cause abdominal pain, gastrointestinal bleeding, intestinal obstruction or intussusception. In the case of a gastric inflammatory fibroid polyp in the presence of Helicobacter Pylori infection, the patient can benefit from pharmacological eradication of Helicobacter Pylori.

 In case of an intestinal inflammatory fibroid polyp causing acute abdomen, the treatment is surgical.

In This case during  surgery an ileal tumour 15 cm from the ileocecal valve causing ileoileal intussusception was found.
 The intussuscepted segment was resected and an end-to-end anastomosis was carried out

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