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Vol. 2, No. 1, 2008
Issue release date: January – April 2008
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Case Rep Gastroenterol 2008;2:128–133
(DOI:10.1159/000122588)
Published: April 2008

Localized Giant Inflammatory Polyposis of the Ileocecum Associated with Crohn’s Disease: Report of a Case

Fumimoto Y.a · Tamagawa K.a · Ito T.b · Sawa Y.a · Nishida T.a
Departments of aSurgery (E1) and bComplementary and Alternative Medicine, Osaka University Graduate School of Medicine, Suita, Japan

Abstract

Although inflammatory polyposis is one of the common complications in patients with inflammatory bowel disease, it is rare that each poly grows up to more than 1.5 cm. We describe a case of localized giant inflammatory polyposis of the ileocecum associated with Crohn’s disease. A 40-year-old man who had been followed for 28 years because of Crohn’s disease was hospitalized for right lower abdominal pain after meals. Barium enema and colonoscopy showed numerous worm-like polyps in the ascending colon which grew up to the hepatic flexure of the colon from the ileocecum, causing an obstruction of the ileocecal orifice. Since histology of a biopsy specimen taken from the giant polyps showed no dysplasia, he was diagnosed with ileus due to the localized giant inflammatory polyposis. A laparoscopically assisted ileocecal resection was performed. The resected specimen showed that the giant polyps grew up into the ileocecum. Histological examination revealed inflammatory polyposis without neoplasm. Generally, conservative treatment is indicated for localized giant inflammatory polyposis because this lesion is regarded as benign. However, occasionally serious complications arise, requiring surgical treatment.

 goto top of outline Author Contacts

Yuichi Fumimoto, MD
Department of Surgery (E1), Osaka University Graduate School of Medicine
2-2 Yamadaoka
Suita, Osaka 565-0871 (Japan)
Tel. +81 6 6879 3153, Fax +81 6 6879 3163, E-Mail fumimoto@surg1.med.osaka-u.ac.jp


 goto top of outline Article Information

Published online: April 10, 2008
Number of Print Pages : 6
Number of Figures : 3, Number of Tables : 0, Number of References : 11


 goto top of outline Publication Details

Case Reports in Gastroenterology

Vol. 2, No. 1, Year 2008 (Cover Date: April)

Journal Editor: Urrutia R. (Rochester, Minn.)
ISSN: NIL (Print), eISSN: 1662–0631 (Online)

For additional information: http://www.karger.com/CRG


Open Access License / Drug Dosage

Open Access License: This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only.
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