Korean J Gastrointest Endosc.  2005 Mar;30(3):155-159.

A Case of Inflammatory Fibroid Polyp in the Duodenum

• Park JE
• Jung SW
• Kim DJ
• Kim KH
• Kim GH
• Kim SH
• Lee SY
• Kim HS
• Lee SM
• Kim DJ

Abstract

Inflammatory fibroid polyp is a relatively uncommon, localized benign lesion of the gastrointestinal wall. It is seen mostly as a single entity and the majority of inflammatory fibroid polyps have been reported with pathologic examination in the stomach but rarely in small intestines. A 70-year-old woman was presented with intermittent epigatric discomfort and gastroduodenoscopy showed a polypoid lesion with oval shaped, central depression, and normal mucosal covering. Endoscopic ultrasonography showed 8x6 mm sized hypoechoic tumor which was located mainly in the third layer of the duodenal wall with indistinct margin. The tumor was successfully removed by endoscopic resection after the injection of hypertonic saline solution with epinephrine and banding. The tumor consisted of loose fibrous stroma, small blood vessels and inflammatory cells. We present a case of inflammatory fibroid polyp of the duodenum with review of the literatures.

Keyword

Inflammatory fibroid polyp; Duodenum; Endoscopic resection; Endoscopic ultrasonography

MeSH Terms

Aged
Blood Vessels
Depression
Duodenum*
Endosonography
Epinephrine
Female
Humans
Intestine, Small
Leiomyoma*
Polyps*
Saline Solution, Hypertonic
Stomach
Epinephrine
Saline Solution, Hypertonic