Inflammatory fibroid polyps of the appendix: different presentation and literature review

Journal of Surgical Case Reports
Ibrahim AlbabtainJumanah Aljahani

Abstract

Inflammatory fibroid polyps (IFPs), or Vanek's tumor, are rare benign mesenchymal lesions of the gastrointestinal tract (GIT). IFPs can be found throughout the GIT but most frequently in gastric antrum or ileum, with the appendix accounting for only <1% of all IFPs. The clinical presentation is usually vague yet depends on the location. We report a case of 50-year-old healthy male presented to the emergency department with a sub-acute complaint of non-specific abdominal pain, which was suspected to be appendicitis. Abdominal CT scan was done as well as colonoscopy and histopathology were scheduled. A week later, he presented in the clinic, still complaining of abdominal pain; thus, the decision was made to schedule him for laparoscopy with appendectomy. Finally, the post-operative course was unremarkable and the patient was discharged home. This is a rare case of IFPs originating in the appendix presenting as an atypical sub-acute appendicitis.

References

Nov 19, 2011·International Journal of Surgery Case Reports·Ali Kordzadeh
Feb 22, 2013·The American Journal of Surgical Pathology·Ta-Chiang LiuAatur D Singhi
Mar 13, 2014·Diagnostic and Interventional Imaging·M FeldisC Cassinotto
May 7, 2015·World Journal of Gastroenterology : WJG·Bassam Abboud
Jul 15, 2015·Annals of Coloproctology·Sung Hoon KangGyu Sang Song
Feb 14, 2016·BMJ Case Reports·Sagar KhadangaShakti Prasad Satapathy
Oct 27, 2016·Case Reports in Gastrointestinal Medicine·Ashish Lal Shrestha, Pradita Shrestha

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