A Rare Case of Ileal Inflammatory Fibroid Polyp with Small Bowel Obstruction

Abstract

Inflammatory fibroid polyp is rare idiopathic benign tumour of gastrointestinal tract. The most common site is stomach (gastric antrum) followed by ileum. Ileal inflammatory fibroid polyp usually present with intussusception which has been published in various worldwide literatures. We report a case of 46-year-old lady presented with three days history of abdominal pain, vomiting and low grade fever. Clinically, she was diagnosed with acute small obstruction. Computed Tomography imaging demonstrated Ileo-ileal intussuception with polyp in the location of terminal ileum. Diagnostic laparoscopy was suggestive of Ileo-ileal intussuception due to a polyp 20 cm from ileo-caecal junction. Intussuception was spontaneously reduced and wedge resection was performed on the diseased segment.

Keywords

• computed tomography
• ileal polyp
• intussuception