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문영명(Young Myoung Moon),김경희(Kyung Hee Kim),이관식(Kwan Sik Lee),이희대(Hee Dae Lee),박형근(Hyung Geun Park),김동수(Dong Soo Kim),정현주(Hyeon Joo Jeong),김기황(Gee Hwang Kim) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.1
Inflammatory fibroid polyp is a polypoid lesion composed of fibrous tissues and blood vessels, originating in the submucosa of the gastrointestinal tract. It is seen mostly in the stomach and rarely, along the small bowel and colon. Complications which produced intussusception are rare. Recently we experienced a case of inflammatory fibroid po]yp of the ileum which produced intussusception. A 53 year old female patient was referred for evaluation of vomiting and diffuse abdominal pain of 6 days' duration. Ultrasonography revealed a 3.5 cm sized round hypoechoic mass in the lower abdomen associated with a target lesion, centrally echogenic with echopoor wheel in the adjacent area which suggested a mass with intussusception and a emergency exploratory laparotomy was performed. On operation findings, the intussusception was formed by the tumor and its size was approximately 8 cm. It was found at a distance about 80 cm from the ileocecal valve in the ileum. Segmental resection of ileum and end-to-end anastomosis were performed. The sectioned mass revealed yellow-gray color and showed a homogenous necrotizing lesion. Microscopically it was revealed to be an inflammatory fibroid polyp. The patient was discharged on the 12th hospital day with improved symptoms.