An Unusual Case of Intussusception

Title: An Unusual Case of Intussusception

Authors: Dr Gaurav Batra, Dr Trupti Tonape, Dr Ishant Rege, Dr Iresh Shetty, Dr Aditya Lad, Dr Debabrata Gope

DOI: https://dx.doi.org/10.18535/jmscr/v4i11.47

Abstract

Intussusceptions are defined as the telescoping of one segment of the gastrointestinal tract into an adjacent distal segment. In the small bowel, intussusceptions are typically caused by benign processes, but can occasionally be caused by inflammatory fibroid polyps (IFPs), which often present as intussusception and bowel obstruction. IFPs are most often seen in the stomach, but they can also occur in any segment of the gastrointestinal tract, where they most frequently cause an intussusception in the ileum, rather than the jejunum. Preoperative diagnosis of inflammatory pseudotumour is often difficult, and confirmation can only be obtained by histological examination to differentiate them from malignancy. The treatment of inflammatory pseudotumour is surgical resection of the involved bowel.

Keywords: Intussusceptions, inflammatory fibroid polyps, surgical resection.

References

1. Agha FP. Intussusception in adults. AJR Am J Roentgenol 1986; 146:527-31.

2. Akbulut S. Intussusception due to inflammatory fibroid polyp: a case report and comprehensive literature review. World J Gastroenterol 2012;18:5745-52.

3. Vanek J. Gastric submucosal granuloma with eosinophilic infiltration. Am J Pathol 1949;25:397-411.

4. Eisen LK, Cunningham JD, Aufses AH Jr. Intussusception in adults: institutional review. J Am Coll Surg 1999;188:390-5.

5. Talley NJ: Gut eosinophilia in food allergy and systemic and autoimmune diseases. Gastroenterol Clin North Am 2008;37:307-32.

6. Helwig EB, Ranier A. Inflammatory fibroid polyps of the stomach. Surg Gynecol Obstet 1953;96:335-67.

7. De la Plaza R, Picardo AL, Cuberes R, Jara A, Martinez-Penalver I, Villanueva MC, et al. Inflammatory fibroid polyps of the large intestine. Dig Dis Sci 1999;44:1810-6.

8. Rehman S, Gamie Z, Wilson TR, Coup A, Kaur G. Inflammatory fibroid polyp (Vanek's tumour), an unusual large polyp of the jejunum: a case report. Cases Journal 2009; 2:7152

9. Pantanowitz L, Antonioli DA, Pinkus GS, Shahsafaei A, Odze RD. Inflammatory fibroid polyps of the gastrointestinal tract: evidence for a dendritic cell origin. Am J Surg Pathol 2004; 28: 107-114.

10. Zager JS, Shaw JP, Kaufman JP, DeNoto G. Three cases of small bowel intussusception in relation to a rare lesion: inflammatory fibrous polyps. Dig Surg. 2001;18(2):142-6.

11. Sanders BM, West KW, Gingalewski C, Engum S, Davis M, Grosfeld JL. Inflammatory pseudotumor of the alimentary tract: Clinical and Surgical experience. Journal of Pediatric Surgery 2001; 36: 169-73.

Corresponding Author

Dr Gaurav Batra

Chief Resident, Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune 411018

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