Prepyloric gastric inflammatory fibroid polyp presenting as chronic epigastric discomfort in a 5th decade aged female: A case report. (2020)

• Record Type: Journal Article
• Authors: Terro, Jad J.; El-Helou, Etienne; Kansoun, Alaa; Taha, Alaa; Karaki, Jocelyne; Naccour, Jessica; Damaj, Nahed; Abtar, Houssam Khodor
• Is Part Of: International journal of surgery case reports. Volume 76(2020)
• Page Start: 49
• Page End: 51
• Publication Date: 2020
• Subjects: Gastric inflammatory Fibroid -- Gastric polyp -- Chronic abdominal pain -- Surgical resection -- Diagnostic challenge -- Case report; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2020.09.152
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Inflammatory fibroid polyps is a rare entity that mostly occur in the stomach. Diagnosis is mainly postoperative with limited roles of usual diagnostic techniques. Histopathology and immunohistochemistry are the gold standard in diagnosis. Resection/surgery is the mainstay treatment. Abstract: 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.