成人腸重積症をきたした小腸ｉｎｆｌａｍｍａｔｏｒｙ　ｆｉｂｒｏｉｄ　ｐｏｌｙｐの２例

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  • TWO ADULT CASES OF INFLAMMATORY FIBROID POLYP OF THE SMALL INTESTINE PRESENTED WITH INTUSSUSCEPTION

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We report two adult cases inflammatory fibroid polyp (IFP) of the small intestine presented with intussusception. A 65-year-old woman was admitted to the hospital because of epigastric pain and vomiting.<br>A 71-year-old woman was admitted because of a 3-month history of abdominal pain and constipation. In both patients, abdominal CT scan indicated intussusception caused by a tumor of the small intestine. On emergency laparotomy, the intussusception caused by the tumor of the small intestine was identified and partial resection of the small intestine including the tumor was performed. The histopathological diagnosis of the tumor was IFP.<br>IFP of the small intestine is relatively rare and frequently presents with intussusception. Therefore, IFP must be kept in mind as a propable cause of intussusception in adults.<br>To make the diagnosis of intussuception is not so difficult if characteristic findings are shown by preoperative abdominal CT scan, but to make the qualitative diagnosis of the leading point of the intussusception is still difficult pre- and intra-operatively that might be a further problem awaiting solution.

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