Inflammatory fibroid polyps (IFPs) are rare, benign tumors that can arise throughout the gastrointestinal tract, they are usually asymptomatic, and clinical presentation depends on the site of involvement. Gastric and colon IFPs are traditionally identified incidentally, whereas small intestinal lesions are often encountered in the setting of intussusception or during imaging studies. Complete resection via endoscopy or surgery is recommended.

Patient is a 52-year-old male without past medical history; he had a five-month history of mild colicky abdominal pain. A mass was detected in the small bowel, and surgery was decided. Since the mass was small a cooperative approach with an intraoperative enteroscopy was needed to locate the mass and achieve complete resection.

IFPs of the small bowel require complete resection. Surgery should be performed as early as possible to prevent complications like intussusceptions, ischemia, and necrosis.

In these rare tumors, the collaboration between surgeons and endoscopists is indispensable to improve the patient's prognosis.

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Inflammatory fibroid polyp is a rare benign tumor.

• Inflammatory fibroid polyps
• Intraoperative enteroscopy
• Small bowel tumors

• Adult
• Diagnosis, Differential
• Female
• Humans
• Ileal Diseases/complications
• Ileal Diseases/diagnostic imaging
• Ileal Diseases/pathology
• Intestinal Perforation/diagnostic imaging
• Intestinal Perforation/etiology
• Intestinal Perforation/pathology
• Intestinal Polyps/complications
• Intestinal Polyps/diagnostic imaging
• Intestinal Polyps/pathology
• Intussusception/diagnostic imaging
• Intussusception/etiology
• Intussusception/pathology
• Middle Aged
• Tomography, X-Ray Computed/methods

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, which often present as intussusception and bowel obstruction. These polyps are rare, benign, tumorous lesions in the gastrointestinal tract and are typically observed in the stomach, but can occur anywhere in the gastrointestinal tract. Any case of a jejunojejunal intussusception caused by inflammatory fibroid polyps is considered rare, and we report the case of a 51-year-old woman with an inflammatory fibroid polyp of the jejunum presenting as an intussusception who was successfully treated with a resection.

• Intestinal polyp
• Intussusception
• Jejunum
• Small intestine

• Abdominal pain
• Computed tomography scan
• Inflammatory fibroid polyps
• Intussusception
• Small bowel
• Surgery

• Adult
• Aged
• Diagnosis, Differential
• Diagnostic Imaging
• Female
• Genetic Predisposition to Disease
• Humans
• Intestinal Neoplasms/epidemiology
• Intestinal Neoplasms/genetics
• Intestinal Neoplasms/pathology
• Intestinal Neoplasms/surgery
• Intestinal Polyps/epidemiology
• Intestinal Polyps/genetics
• Intestinal Polyps/pathology
• Intestinal Polyps/surgery
• Intestine, Small/pathology
• Intestine, Small/surgery
• Leiomyoma/epidemiology
• Leiomyoma/genetics
• Leiomyoma/pathology
• Leiomyoma/surgery
• Male
• Middle Aged
• Predictive Value of Tests
• Risk Factors
• Time Factors
• Treatment Outcome

• Case report
• Inflammatory lymphoid polyp
• Intussusception
• Small bowel

Inflammatory fibroid polyps (Vanek's tumor) are rare benign localized lesions originating in the submucosa of the gastrointestinal tract. Intussusceptions due to inflammatory fibroid polyps are uncommon; moreover, ileo-ileal intussusception with small bowel necrosis and perforation has rarely been reported. We report a 56-year-old woman who was admitted two days after complaints of nausea and vomiting. Abdominal examination revealed distension, signs of gastrointestinal perforation and clanging intestinal sounds. The patient underwent a emergency laparotomy which found a 17-cm invaginated mid-ileal segment with necrosis, perforation and fecal peritonitis. The ileal segment was resected and single-layer end-to-end anastomosis was performed. Histopathological analysis showed an ulcerative lesion with variable cellularity, formed by spindle cells with small number of mitosis and an abundant inflammatory infiltrate comprising mainly eosinophils. Immunohistochemistry confirmed the diagnosis of ileal Vanek's tumor. Although inflammatory fibroid polyps are seen very rarely in adults, they are among the probable diagnoses that should be considered in obstructive tumors of the small bowel causing intussusception with intestinal necrosis and perforation.

• Ileal neoplasm
• Immunohistochemistry
• Intestinal obstruction
• Intestinal perforation
• Intestinal polyps
• Intussusception
• Polyps