A case of inflammatory fibroid polyp presenting with jejunal bleeding

Inflammatory fibroid polyp occurs very rarely in the jejunum and gastrointestinal bleeding as an initial manifestation of inflammatory fibroid polyp has not been reported. We report a case of a jejunal inflammatory fibroid polyp presenting with melena for 10 days. Upper gastrointestinal endoscopic e...

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Bibliographic Details
Published in:	The Korean journal of gastroenterology Vol. 42; no. 4; pp. 337 - 340
Main Authors:	Hwang, Man Keun, Kim, Jung Hun, Park, Sang Won, Park, Jae Bum, Lee, Chang Ik, Lee, Chang Gu, Lee, Jin Kwan
Format:	Journal Article
Language:	Korean
Published:	Korea (South) 01-10-2003
Subjects:	Adult Gastrointestinal Hemorrhage - etiology Humans Intestinal Polyps - diagnosis Intestinal Polyps - pathology Jejunal Diseases - diagnosis Jejunal Diseases - pathology Male
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Summary:	Inflammatory fibroid polyp occurs very rarely in the jejunum and gastrointestinal bleeding as an initial manifestation of inflammatory fibroid polyp has not been reported. We report a case of a jejunal inflammatory fibroid polyp presenting with melena for 10 days. Upper gastrointestinal endoscopic examination was negative for any active bleeding lesions and abdominal angiography failed to localize the bleeding site as well. In contrast, computed tomography of the abdomen demonstrated a segmental wall thickening of the jejunum with a tumor-like mass lesion associated with dense contrast enhancement. Consistent with this, technetium 99m red blood cells scintigraphy exhibited red cell pooling at the right upper quadrant. On exploratory laparotomy, there was an active bleeding from the site of the jejunal tumor and a segmental resection was performed. Histologically, the tumor lesion of the jejunum was consistent with inflammatory fibroid polyp. Thus, we conclude that the tumor lesion was a cause of the gastrointestinal bleeding.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Report-3 ObjectType-Case Study-4
ISSN:	1598-9992