回腸に発生したinflammatory fibroid polypの1例

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  • A CASE OF INFLAMMATORY FIBROLD POLYP OF THE ILEUM

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A case of inflammatory fibroid polyp (IFP) developed in the ileum is reported.<br>A 56-year-old woman was admitted to the hospital because of several episodes of recurrent crampy abdominal pain after meals. Plain films of the abdomen revealed dilated loops of the small bowel with air-fluid levels. Mechanical small bowel obstrcution and an intraluminal mass were suspected on CT films. On exploratory laparotomy an intussusception of the small bowel was found. Enterectomy about 70 cm was performed. Histologically, the tumor, 3.2×2.8×2.8 cm in size, occupied the submucosa, and there was an ulceration on the top of the tumor. The inflammatory cell infiltration was composed predominantly of eosinophils and lymphocytes. The fibroblasts had disintegrated in the lumina muscularis mucosa. As a result, CT will become valuable to make a diagnosis of intraluminal tumor. The diagnosis and proper enterectomy for submucosal tumors in the small intestine, especially IFP, are discussed based on our experience as well as a review of the literature.

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