Abstract
Inflammatory fibroid polyps (IFPs) are rarely found in the gastrointestinal tract. The majority of IFPs are sessile-pedunculated or pedunculated polypoid lesions, whereas a polyp presenting like a Borrmann type II lesion is extremely unusual. This report describes the case of a 74-year-old man with a history of intussusception, in whom a preoperative diagnosis of a cecal tumor of the ileocecal valve was made. A laparotomy subsequently revealed a lesion similar to a Borrmann type II tumor located 15 cm above the ileocecal valve, but not at the valve. The lesion was diagnosed as an IFP which had been caused by repeated colostomy irrigation. The aim of the present report is to draw attention to this entity, which should be included in the differential diagnosis of intussusception and small bowel obstruction.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Vanek J (1949) Gastric submucosal granuloma with eosinophilic infiltration. Am J Pathol 25:397–411
Booher RJ, Grant RN (1951) Eosinophilic granuloma of the stomach and small intestine. Surgery 30:388–397
Shubin H, Sargent JA (1955) Gastric neurofibroma simulating granulomas. AMA Arch Pathol 60:286–288
Olsen EGJ, Wellwood JM (1970) Hemangiopericytoma of the small intestine. Br J Surg 57:66–69
Pearce AE, Ivker M, Oller S (1954) Fibroma of ileum (diagnosed preoperatively by barium enema as benign polypoid tumor) and a review of benign small intestine tumors. Surgery 36:299
Campbell WL, Green WM, Seaman WB (1974) Inflammatory pseudotumor of the small intestine. Am J Roentgenol Radium Ther Nucl Med 121:305–311
Helwig EB, Rainer A (1953) Inflammatory fibroid polyps of the stomach. Surg Gyncol Obstet 96:355–367
Rubinstein R, Mogle P, Merguerian P, Rosenmann EL (1983) Inflammatory fibroid polyp of the small intestine: report of two cases and review of the literature. Isr J Med Sci 19:828–833
Klepinger CA, Pontius EE (1964) Inflammatory polyps of the intestinal tract. Am J Clin Pathol 42:371–380
Yasuda S, Fujii H, Nakano H (1991) A scintigraphic study of colostomy irrigation (in Japanese). J Jpn Soc Coloproctol 44:867–875
Johnstone JM, Morson BC (1978) Inflammatory fibroid polyp of the gastrointestinal tract. Histopathology 2:349–361
Murakami H, Tamura J, Kurihara K, Kobori O, Saitou K (1995) A case of inflammatory fibroid polyp causing intussusception (in Japanese). Shujyutsu (Operation) 49:1141–1144
McGreevy P, Debnerneck RC, McLeavy M, Miller FA (1967) Recurrent eosinophilic infiltrate (granuloma) of the ileum causing intussusception in a 2-year-old child. Surgery 61:280–284
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ojima, Y., Okajima, M., Asahara, T. et al. Inflammatory fibroid polyp of the ileum with the appearance of a borrmann type II lesion, caused by colostomy irrigation: Report of a case. Surg Today 27, 1061–1063 (1997). https://doi.org/10.1007/BF02385789
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02385789