Adult jejunoileal intussusception caused by inflammatory fibroid polyp

Abstract

Inflammatory fibroid polyp (IFP) is a rare non-neoplastic condition, which has been reported to cause gastrointestinal (GI) bleeding and simple mechanical obstruction of the pylorus or small intestine, but rarely intussusception. Only 1-5% of all bowel obstructions in adults are due to intussusception; >90% of cases are associated with lead point lesions. We are presenting a rare case of adult intussuception caused by an IFP as a lead point lesion. Computed tomography (CT) scan is the investigation of choice for diagnosis of intussusception as well as to identify benign or malignant nature of lead point lesions. En bloc resection of the involved bowel, without attempt at reduction, is the recommended surgical procedure for adult intussusception.