Abstract

CALLE, Carlos Andrés; MATALLANA, Rogelio; NARANJO, Camilo  and  MUNOZ, Estefanía. Ileoileal intussusception secondary to inflammatory fibrinoid polyp. rev. colomb. cir. [online]. 2015, vol.30, n.3, pp.240-245. ISSN 2011-7582.

Introduction: Inflammatory fibrinoid polyp is a non-neoplastic inflammatory lesion, which occurs especially at gastric level, but may also occur anywhere in the gastrointestinal tract, where it can cause episodes of intussusceptions and intestinal obstruction. Case report: We report the case of a 49 year old woman with clinical presentation of one week of evolution consisting in episodes of intermittent abdominal pain, abdominal distension and emesis. She presented at the emergency department of Clinica CES (Medellín, Colombia), where a CT scan of the abdomen reported ileal intussusception. At exploratory laparotomy an intussusception secondary to a polypoid lesion that occupied the ileal lumen was found, and resection of the involved segment and anastomosis were performed without complications. Pathology and immunohistochemistry study confirmed the diagnosis of Inflammatory fibrinoid polyp. Conclusion: The inflammatory fibrinoid polyp is a rare, benign entity that when located in the ileum may cause intussusception and intestinal obstruction. Imagening studies exhibit indirect findings. However, definitive diagnosis is made with pathology and immunohistochemistry studies followimg complete surgical resection, which is curative in the majority of cases.

Keywords : intestinal diseases; intestinal polyps; intestinal neoplasms; intestinal obstruction.

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