血便および成人腸重積症でそれぞれ発症した回腸ｉｎｆｌａｍｍａｔｏｒｙ　ｆｉｂｒｏｉｄ　ｐｏｌｙｐの２例

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  • TWO CASES OF INFLAMMATORY FIBROID POLYP (IFP) OF THE ILEUM PRESENTING WITH BLOODY STOOL AND INTUSSUSCEPTION RESPECTIVELY

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We report two cases of inflammatory fibroid polyp (IFP) of the ileum presented with bloody stool and intussusception respectively. Case 1 was a 61-year-old man, who was admitted to the hospital because of bloody stool. Colonoscopy showed reddish intestinal contents in the terminal ileum and small intestinal bleeding was suggested. While various examinations were performed, no other abnormality was found. Case 2 was a 59-year-old woman, who was admitted to the hospital because of lower abdominal pain and constipation twice. In the first admission, no abnormality was found. In the second admission, X-ray study through a long intestinal decompression tube and abdominal CT scan indicated intussusception due to tumor of the ileum. On laparotomy, intussusception due to the tumors of the ileum was identified and partial resection of the ileum including the tumors was performed in both cases. The histopathological diagnosis was IFP. IFP of the small intestine is rare, frequently presents with intussusception, and rarely with bloody stool. It is very difficult to make a qualitative diagnosis of IFP pre-or intraoperatively, and so it is diagnosed by pathological examination of the resected specimen.

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