Inflammatory myoglandular polyp of the cecum: case report and review of literature.

BMC Gastroenterology
Roberto L MeniconiPiero Chirletti

Abstract

Inflammatory myoglandular polyp (IMGP) is a rare non-neoplastic polyp of the large bowel, commonly with a distal localization (rectosigmoid), obscure in its pathogenesis. Up till now, 60 cases of IMGP have been described in the literature, but none located in the cecum. We report a case of a 53-year-old man who was admitted to our hospital for further evaluation of positive fecal occult blood test associated to anemia. A colonoscopy identified a red, sessile, lobulated polyp of the cecum, 4.2 cm in diameter, partially ulcerated. The histological examination of the biopsy revealed the presence of inflammatory granulation tissue with lymphocytic and eosinophil infiltration associated to a fibrous stroma: it was diagnosed as inflammatory fibroid polyp. Considering the polyp's features (absence of a peduncle and size) that could increase the risk of a polypectomy, a surgical resection was performed. Histological examination of the specimen revealed inflammatory granulation tissue in the lamina propria, hyperplastic glands with cystic dilatations, proliferation of smooth muscle and multiple erosions on the polyp surface: this polyp was finally diagnosed as IMGP. There was also another little polyp next to the ileocecal valve, not re...Continue Reading

References

Sep 1, 1991·The American Journal of Surgical Pathology·J K Kelly
Jul 1, 1994·The American Journal of Surgical Pathology·A Burke, L Sobin
Dec 1, 1993·Histopathology·A P GriffithsM F Dixon
Jul 1, 1993·The American Journal of Surgical Pathology·P J Dean
Aug 1, 1993·The American Journal of Surgical Pathology·P S BhathalJ L Slavin
Jul 15, 1999·Journal of Clinical Gastroenterology·N HaradaS Motomura
Mar 3, 2004·Pathology, Research and Practice·Gabriel Becheanu, Bernhard Stamm
Jun 16, 2005·Journal of Gastroenterology and Hepatology·M TashiroM Otsuki
Sep 12, 2008·World Journal of Gastroenterology : WJG·Shoji HirasakiAtsuko Shirakawa

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsy
surgical resection
surgical resections

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.

Astrocytes

Astrocytes are glial cells that support the blood-brain barrier, facilitate neurotransmission, provide nutrients to neurons, and help repair damaged nervous tissues. Here is the latest research.