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Published: April 2008

Open Access Gateway

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

Author affiliations

Departments of aSurgery (E1) and bComplementary and Alternative Medicine, Osaka University Graduate School of Medicine, Suita, Japan

Corresponding Author

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

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Case Rep Gastroenterol 2008;2:128–133

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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.

© 2008 S. Karger AG, Basel

Article / Publication Details

First-Page Preview
Abstract of Published: April 2008

Published online: April 10, 2008
Issue release date: January – April

Number of Print Pages: 6
Number of Figures: 3
Number of Tables: 0

eISSN: 1662-0631 (Online)

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

Open Access License / Drug Dosage / Disclaimer

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.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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