Öz
Iıntroduction and Aim: Inflammatory Fibroid Polyp is a rare benign polipoid lesion of the Gastrointestinal tract commonly found in the stomach, however, it can also be found elsewhere throughout the gastrointestinal tract. The lesion is typically 1-3 cm in size, generally found as an obstructive lesion, however, may also be an isolated incidental finding during endoscopy. We presented here a case with giant inflammatory fibroid polyp causing anemia. Case: A 53 year old male presented to our hospital with a chief complaint of weakness and pallor. Subsequently, physical exam and laboratory evaluation were consistent iron deficiency anemia which prompted colonoscopic investigation that revealed a 7 cm pedunculated polyp in the ileum approximately 20cm proximal to the ileo-cecal valve. As a result, a laparoscopic segmental resection of the ileum was performed and the histopathology confirmed the diagnosis of Inflammatory Fibroid Polyp. Conclusion:This case is a reminder that IFP may be an infrequent cause for iron deficiency anemia in selected cases.
Anahtar Kelimeler
Kaynakça
- Ozolek JA, Sasatomi E, Swalsky PA, Rao U, Krasinskas A, Finkelstein SD. Inflammatory fibroid polyps of the gastrointestinal tract: clinical, pathologic, and molecular characteristics. Appl Immunohistochem Mol Morphol. 2004 Mar;12(1):59-66.
- Johnstone JM, Morson BC. Inflammatory fibroid polyp of the gastrointestinal tract. Histopathology 1978; 2: 349-361
- Gönül İL, Erdem Ö, Ataoglu Ö. Inflammatory fibroid polyp of the ileum causing intussusception: a case report. Turk J Gastroenterol 2004; 15 (1): 59-62.
- Doganavşargil B, Özsan N, Akalın T, Ersin S, Aydın A, Tunçyürek M. Gastrointestinal tümör kuşkusu yaratan inflamatuvar fibroid polip. Ege Tıp Dergisi 2008; 47 (3): 193-196.
- Korkmaz Ö, Yılmaz HG, Yılmaz F. İntussusception duo to inflammatory fibroid polyp located at ileum: Report of two cases. Turk J Med Sci 2007; 37 (3): 181-184.
- Tanaka K, Toyoda H, Hamada Y, Aoki M, Kosada R, Noda T. Anemia caused by a gastric inflammatory fibroid polyp. JVIR 2008; 67(2): 345-346.
- Sakamoto T, Kato H, Okabe T, Ohya T, Iesato H, Yokomori T, Haga SS. A large inflammatory fibroid polyp of the colon treated by endoclip-assisted endoscopic polypectomy: A case report. Dig Liver Dis. 2005 Dec;37(12):968-72.
- Y. Hattori , S. Kobayashi , H. Takahashi , M. Yoneda, M. Inamori, Y. Abe, K. Kubota, S. Saito, A. Nakajima Gastric Inflammatory Fibroid Polyp Treated by Endoscopic Submucosal Dissection:Case Report. Gastroenterol 2008;2:283-286
- Godey SK, Diggory TR. İnflamattory fibroid polyp of the oesophagus. World J Surg Oncol. 2005 May 30; 3:30.
- Zinkiewicz K, Zgodziñski W, D.browski A, Szumi J, Æwik G,Wallner G. Recurrent inflammatory fibroid polyp of cardia: A case report. World J Gastroenterol 2004; 10(5): 767-76.
Öz
Giriş ve amaç: İnflamatuar fibroid polip gastrointestinal sistemin nadir görülen, en sık mide antrumundan köken almakla birlikte gastrointestinal sistemin her yerinde görülebilen lezyonudur. Genellikle 1-3 cm boyutlarında olan lezyonun tanısı obtrüksiyona bağlı yakınmalarla veya rastlantısal olarak konulmaktadır. Yazımızda anemiye neden olan dev ileal inflamatuar fibroid polip olgusu sunulmuştur. Olgu: 53 yaşında erkek hasta son haftalarda gelişen güçsüzlük ve renk solgunluğu yakınması ile başvurdu. Fizik muayene ve laboratuar incelemeleri ile demir eksikliği anemisi tanısı konuldu. Anemi etiyolojisi araştırılırken yapılan kolonoskopide terminal ileumda valv’den yaklaşık 20 cm proksimalde 7-8 cm boyutunda pedinküle polipoid lezyon mevcuttu. Hastaya laparoskopik segmenter ince barsak rezeksiyonu yapıldı. Lezyonun patolojik incelemesinde iltihabi fibroid polip saptandı. Sonuç :İnflamatuar fibroid polip demir eksikliği anemisine yol açabilen polipoid nitelikteki oluşumların ayırıcı tanısında göz önünde bulundurulmalıdır.
Anahtar Kelimeler
Kaynakça
- Ozolek JA, Sasatomi E, Swalsky PA, Rao U, Krasinskas A, Finkelstein SD. Inflammatory fibroid polyps of the gastrointestinal tract: clinical, pathologic, and molecular characteristics. Appl Immunohistochem Mol Morphol. 2004 Mar;12(1):59-66.
- Johnstone JM, Morson BC. Inflammatory fibroid polyp of the gastrointestinal tract. Histopathology 1978; 2: 349-361
- Gönül İL, Erdem Ö, Ataoglu Ö. Inflammatory fibroid polyp of the ileum causing intussusception: a case report. Turk J Gastroenterol 2004; 15 (1): 59-62.
- Doganavşargil B, Özsan N, Akalın T, Ersin S, Aydın A, Tunçyürek M. Gastrointestinal tümör kuşkusu yaratan inflamatuvar fibroid polip. Ege Tıp Dergisi 2008; 47 (3): 193-196.
- Korkmaz Ö, Yılmaz HG, Yılmaz F. İntussusception duo to inflammatory fibroid polyp located at ileum: Report of two cases. Turk J Med Sci 2007; 37 (3): 181-184.
- Tanaka K, Toyoda H, Hamada Y, Aoki M, Kosada R, Noda T. Anemia caused by a gastric inflammatory fibroid polyp. JVIR 2008; 67(2): 345-346.
- Sakamoto T, Kato H, Okabe T, Ohya T, Iesato H, Yokomori T, Haga SS. A large inflammatory fibroid polyp of the colon treated by endoclip-assisted endoscopic polypectomy: A case report. Dig Liver Dis. 2005 Dec;37(12):968-72.
- Y. Hattori , S. Kobayashi , H. Takahashi , M. Yoneda, M. Inamori, Y. Abe, K. Kubota, S. Saito, A. Nakajima Gastric Inflammatory Fibroid Polyp Treated by Endoscopic Submucosal Dissection:Case Report. Gastroenterol 2008;2:283-286
- Godey SK, Diggory TR. İnflamattory fibroid polyp of the oesophagus. World J Surg Oncol. 2005 May 30; 3:30.
- Zinkiewicz K, Zgodziñski W, D.browski A, Szumi J, Æwik G,Wallner G. Recurrent inflammatory fibroid polyp of cardia: A case report. World J Gastroenterol 2004; 10(5): 767-76.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Haziran 2010 |
| Yayımlandığı Sayı | Yıl 2010Sayı: 2 |