Laparoscopic Resection of a Jejunal Inflammatory Fibroid Polyp that Caused Occult Gastrointestinal Bleeding, Diagnosed via Capsule Endoscopy and Double-Balloon Enteroscopy: A Case Report.
- Author:
Chizu KAMEDA
1
;
Hideaki MIWA
;
Ryohei KAWABATA
;
Daiki MARUKAWA
;
Masahiro MURAKAMI
;
Shingo NOURA
;
Junzo SHIMIZU
;
Junichi HASEGAWA
Author Information
- Publication Type:Case Report
- Keywords: Inflammatory fibroid polyp; Capsule endoscopy; Double balloon enteroscopy; Laparoscopic surgery
- MeSH: Abdominal Pain; Aged; Anemia; Capsule Endoscopy*; Colonoscopy; Double-Balloon Enteroscopy*; Endoscopy, Digestive System; Female; Gastrointestinal Tract; Hemorrhage*; Humans; Intestine, Small; Intussusception; Jejunum; Laparoscopy; Leiomyoma*; Occult Blood; Polyps*
- From:Clinical Endoscopy 2018;51(4):384-387
- CountryRepublic of Korea
- Language:English
- Abstract: An inflammatory fibroid polyp (IFP) is a mesenchymal tumor of the gastrointestinal tract. IFPs in the small intestine are the most frequently detected with symptoms, such as abdominal pain and tarry stool due to intussusception. Accordingly, few studies have reported jejunal IFP as a cause of occult gastrointestinal bleeding (OGIB) diagnosed via both of capsule endoscopy (CE) and double-balloon enteroscopy (DBE). A 68-year-old woman presented with a progression of anemia and a positive fecal occult blood test result. Esophagogastroduodenoscopy and total colonoscopy findings were unremarkable. CE revealed a tumor with bleeding in the jejunum. DBE also revealed a jejunal polypoid tumor. Bleeding from the tumor seemed to have caused anemia. The patient underwent partial laparoscopic resection of the jejunum, including resection of the tumor. The tumor was histopathologically diagnosed as IFP. To our knowledge, this is the first reported case of laparoscopic resection of jejunal IFP with OGIB diagnosed via CE and DBE preoperatively.
