David Toro Tole

and 3 more

INTRODUCTIONThis case reports a rare case of adult ileocolic intussusception secondary to an inflammatory fibroid polyp (IFP). Intussusception is an uncommon adult surgical condition, representing 5-16% of all cases of intussusception, and only 1-5% of all causes of adult intestinal obstruction (1). Up to 90% of cases are secondary to an underlying pathology, with approximately 65% being secondary to benign or malignant neoplasms (2). The diagnostic uncertainty of the underlying lead point highlights the need to surgically intervene on these lesions promptly.The inflammatory fibroid polyp, which is also known as the Vanek tumour, was first described by Vanek in 1949 and then proposed by Helwig and Ranier in 1953 (2). It is now defined as a benign tumour arising from the submucosa of the gastrointestinal tract. The most common site from which IFPs arise is the gastric antrum in 66-75% of cases, followed by the small bowel in 18-20% of cases (2). The ileal segment, however, is the most common site where they occur. Historically, aetiology was thought to be an inflammatory response to a submucosal granuloma usually associated with an irritating stimulus such as Helicobacter pylori , trauma, tuberculosis, etc. However, activating mutations of the proto-oncogene platelet derived growth factor alpha (PDGFRA) gene have been recently reported as a potential underlying true neoplastic origin (3).The appropriate surgical management of adult intussusception remains debatable when deciding on a primary en bloc resection versus an initial reduction followed by a limited resection. Here, we report a case of a laparoscopic ileocolic resection.