Inflammatory Fibroid Polyp. A case report and review of the literature

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Piero Rossi
Mauro Montuori, Valerio Balassone, Edoardo Ricciardi, Lucia Anemona, Antonio Manzelli, Giuseppe Petrella

Abstract

INTRODUCTION: The Inflammatory fibroid polyp (IFP) is a mesenchymal polypoid lesion of the gastrointestinal tract that follows a benign course. Incidence is extremely low: from 0,1% to 2 %. Histologically, it consists of a submucous proliferation of vascolarized fibromuscolar tissue with a high eosinophils inflammatory infiltration. IFP can arise everywhere in the gastrointestinal tract but is described more frequently in the gastric antrum (70%).


CASE REPORT: We report a case of a 71-year-old woman presented to our department with a worsening history of lack’s appetite, nausea and early satiety. We performed a review of the literature from 1949 to 2011. 196 cases of IFPs were found.


CONCLUSION: Clinical symptoms are heterogeneous and endoscopy’s examination revealed only presence of a sub-mucosal lesion, and their biopsies often gave not diagnostic localization. In the differential diagnosis, it’s important to discern between eosinophilic gastroenteritis, gastrointestinal stromal tumor, inflammatory pseudotumor, hemangioendothelioma, and hemangiopericytoma. Eco-endoscopic appearance and biopsies associated may provide useful informations, that can steer to the diagnostic suspect of IFP. Despite this is a benign lesion, this one often needs a surgical excision on healthy margin. In literature is also described high local recurrence, specially when incomplete excision proceeded.

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How to Cite
Piero Rossi, and Mauro Montuori, Valerio Balassone, Edoardo Ricciardi, Lucia Anemona, Antonio Manzelli, Giuseppe Petrella. “Inflammatory Fibroid Polyp. A Case Report and Review of the Literature”. Annali Italiani Di Chirurgia, vol. 83, no. 4, July 2012, pp. 347-52, https://annaliitalianidichirurgia.it/index.php/aic/article/view/2983.
Section
Case Report