Endoscopy 2004; 36(4): 344-347
DOI: 10.1055/s-2004-814305
Case Report
© Georg Thieme Verlag Stuttgart · New York

A Case of Inflammatory Fibroid Polyp Causing Small-Bowel Intussusception in which Retrograde Double-Balloon Enteroscopy was Useful for the Preoperative Diagnosis

T.  Miyata1 , H.  Yamamoto1 , H.  Kita1 , T.  Yano1 , K.  Sunada1 , Y.  Sekine1 , M.  Iwamoto1 , A.  Kuno1 , N.  Onishi1 , K.  Ido1 , M.  Nokubi2 , A.  Tanaka2 , K.  Sugano1
  • 1Department of Internal Medicine, Division of Gastroenterology, Jichi Medical School, Mianamikawachi, Tochigi, Japan
  • 2Department of Pathology, Jichi Medical School, Mianamikawachi, Tochigi, Japan
Weitere Informationen

Publikationsverlauf

Submitted 27 June 2003

Accepted after revision 5 August 2003

Publikationsdatum:
01. April 2004 (online)

We showed a newly developed method, retrograde double-balloon enteroscopy, to be useful for preoperative diagnosis in a case of inflammatory fibroid polyp accompanied by small-bowel intussusception. A 64-year-old woman was admitted to our hospital with small-bowel intussusception. Results of radiographic and ultrasonographic examination were suggestive of a small-bowel mass. Retrograde double-balloon enteroscopy was performed in an attempt to make a preoperative diagnosis. Endoscopic observation, in combination with histological findings derived from endoscopic biopsy, was suggestive of an inflammatory fibroid polyp. The patient then underwent laparotomy with minimal incision, which revealed a polypoid mass leading to a jejunojejunal intussusception, without bowel necrosis, and a partial small-bowel resection was performed. The pathological diagnosis was an inflammatory fibroid polyp.

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H. Yamamoto, M. D.

Department of Internal Medicine, Division of Gastroenterology ·

Jichi Medical School · 3311-1 Yakushiji · Minamikawachi · Tochigi, 329-0498 · Japan

Fax: +81-285-44-8297

eMail: yamamoto@jichi.ac.jp