Saudi Journal of Pathology and Microbiology (SJPM)
Volume-4 | Issue-07 | 519-521
Case Report
Ileocecal Intussusception Due to Heterogenous Cecal Polyps; One of Which Is Unusual; a Case Report
Dr. Niranjana Kesavamoorthy, Dr. Sathiyabama, Dr. Radhakrishnan
Published : July 23, 2019
Abstract
Background: Inflammatory fibroid tumor (IFT) is uncommon tumor in large bowl. In this patient it was the unusual
cause for large bowel intussusception. More over the coexistence of mucinous adenocarcinoma arising from
adenomatous polyp is a rarity previously unreported in the world literature. Case presentation: Here, we present the case
of a 65 year old female who complained of lower abdominal pain with rectal bleeding occasionally. Imaging studied
confirmed the diagnosis of intussusception of ileocecal type. After resection of intestines, two sessile polyps in caecum
were detected. Histology of the polyp’s revealed one showing classical features of IFP and the other a malignant growth
arising from tubular adenoma with deep invasion upto serosal coat. Unusually IFP lacks CD 34 stromal cells.
Conclusions: Intussusception of ileocecal type due to sessile polyps in caecum is a rare surgical event. The heterogenous
nature of these polyps being the cause for this unusual case is previously unreported.