Unexpected Intussusception Caused by Giant Inflammatory Fibroid Polyp Case Report

İnflamatuar fibroid polipler (Vanek'in tümörü), Josef Vanek tarafından 1949 yılında tanımlanan, gastrointestinal traktın submukozasından köken alan ve genellikle 1-3 cm ölçülerinde olan sık rastlanılmayan iyi huylu lezyonlardır. Genellikle mide ve ince bağırsakta daha az olarak kolon ve özofagusta görülürler. İnflamatuar fibroid polipler erişkinlerde barsak tıkanmasına yol açan nadir benign durumlardan biridir. Ayırıcı tanısı gastrointestinal stromal tümör, ince bağırsak lenfoması ve ince bağırsak kanserlerini içerir. Biz burada intussepsiyona yol açan terminal ileumun dev inflamatuar polip olgusunu sunduk

İntussepsiyona neden olan dev inflamatuar fibriod polip; olgu sunumu

Inflammatory fibroid polyps (Vanek's tumor) are non-frequent benign lesions, described by Josef Vanek in 1949, that originate in the submucosa of the gastrointestinal tract and usually reach 1 to3 cm. They are generally seen in the stomach and the small intestines, and are less common in the colon and the esophagus. Inflammatory fibroid polyps (IFPs) are one of the rare conditions leading to intestinal obstruction in adults. A differential diagnosis includes gastrointestinal stromal tumor, small intestine lymphoma, and small intestine cancer. We presented here a case with a giant inflammatory fibroid polyp of the terminal ileum causing intussusception

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  • Huang BY, Warshauer DM. Adult intussusception:diagnosis and clinical relevance. Radiol Clin North Am. 2003; 41: 1137-51.
  • Gastrointestinal imaging. (Requisites in Radiology) Robert D. Halpert, Peter J. Feczko.2 nd edition. Philadelphia; Mosby, 2007: 133.
  • Schildhaus HU, Cavlar T, Binot E, Büttner R, Wardelmann E, Merkelbach-Bruse S. Inflammatory fibroid polyps harbour mutations in the platelet-derived growth factor receptor alpha (PDGFRA) gene. J Pathol. 2008; 216: 176-82.
  • Lasota J, Wang ZF, Sobin LH, Miettinen M. Gain-of-function PDGFRA mutations, earlier reported in gastrointestinal stromal tumors, are common in small intestinal inflammatory fibroid polyps. A study of 60 cases. Mod Pathol. 2009; 22: 1049-56.
  • Eisen LK, Cuningham JD, Aufses AH Jr. intussusception in adults; institutional review J. Am Coll Surg. 1999; 188: 390-5.
  • Gayer G, Zissin R, Apter S, Papa M, Hertz M. Adult intussusception- a CT diagnosis. British Journal of Radiology. 2002; 75: 185-90.
  • Akbulut S, Intussusception due to inflammatory fibroid polyp: A case report and comprehensive literature review. World Journal of Gastroenterology. 2012; 18: 5745-52.
  • Zinkiewitcz K, Zgodzinski W, Dobrowski A. Recurrent inflammatory fibroid polyp of cardia. A case report. World J Gastroenterol. 2004; 10: 767-8.
  • Vanek J. Gastric submucosal granuloma with eosinophilic infiltration. Am J Pathol. 1949; 25: 397-411.
  • Wysocki AP, Taylor g,Winsdor JA. Inflammatory fibroid polyps of the duodenum: a review of the literature. Dig Surg, 2007; 24: 162-8.
  • Gönül I, Erdem Ö, Ataoğlu Ö. Inflammatory fibroid polyp of the ileum causing intussusception: a case report. Turk J. Gastroenterolgy. 2004; 15: 59-62.