A Case of Inflammatory Fibroid Polyp Presenting with Jejunal Bleeding.
- Author:
Man Keun HWANG
1
;
Jung Hun KIM
;
Sang Won PARK
;
Jae Bum PARK
;
Chang Ik LEE
;
Chang Gu LEE
;
Jin Kwan LEE
Author Information
1. Department of Internal Medicine, Dongkang General Hospital, Ulsan, Korea. JinKwanL@yahoo.com
- Publication Type:Case Report ; English Abstract
- Keywords:
Inflammatory fibroid polyp;
Jejunal bleeding
- MeSH:
Adult;
Gastrointestinal Hemorrhage/*etiology;
Humans;
Intestinal Polyps/diagnosis/*pathology;
Jejunal Diseases/diagnosis/*pathology;
Male
- From:The Korean Journal of Gastroenterology
2003;42(4):337-340
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
