Prepyloric gastric inflammatory fibroid polyp presenting as chronic epigastric discomfort in a 5th decade aged female: A case report.

Autor: Terro JJ; General Surgery Department, Faculty of Medical Sciences, Lebanese University, Mount Lebanon, Lebanon. Electronic address: j.terro@hotmail.com., El-Helou E; General Surgery Department, Faculty of Medical Sciences, Lebanese University, Mount Lebanon, Lebanon. Electronic address: Etienne-elhelou@hotmail.com., Kansoun A; General Surgery Department, Faculty of Medical Sciences, Lebanese University, Mount Lebanon, Lebanon. Electronic address: A.kanso@hotmail.com., Taha A; Department of Gastroenterology and Endoscopy, Central Military Hospital, Beirut, Lebanon. Electronic address: Alaataha080@gmail.com., Karaki J; General Surgery Department, Faculty of Medical Sciences, Lebanese University, Mount Lebanon, Lebanon. Electronic address: jocelyne_karaki@hotmail.com., Naccour J; Emergency Medicine Department, Faculty of Medical Sciences, Lebanese University, Mount Lebanon, Lebanon. Electronic address: Jessicanaccour14@hotmail.com., Damaj N; General Medicine Department, Faculty of Medical Sciences, Lebanese University, Mount Lebanon, Lebanon. Electronic address: nahed.damaj@outlook.com., Abtar HK; Department of General Surgery, Central Military Hospital, Beirut, Lebanon. Electronic address: dr.houssamabtar@gmail.com.
Jazyk: angličtina
Zdroj: International journal of surgery case reports [Int J Surg Case Rep] 2020; Vol. 76, pp. 49-51. Date of Electronic Publication: 2020 Sep 25.
DOI: 10.1016/j.ijscr.2020.09.152
Abstrakt: Introduction: Inflammatory fibroid polyps is a rare entity that mostly occur in the stomach. Gastric type is usually asymptomatic or may show nonspecific symptoms. Diagnosis is mainly postoperative with limited roles of usual diagnostic techniques.
Presentation of Case: A 42 years old healthy female presenting with chronic symptoms for epigastric discomfort and mild nausea. Labs showed mild anemia. A gastric lesion was detected by Endoscopy and being studied by echo-endoscopy and needle aspirate. Gastric Inflammatory fibroid polyp was diagnosed after distal gastrectomy by histopathology and immunohistochemistry.
Conclusion: Gastric inflammatory fibroid polyp is a preoperative diagnostic challenge of unclear pathogenesis. Histopathology and immunohistochemistry are the gold standard. Studies around this exact pathology are required for better management and prevention.
(Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE