直腸の炎症性線維性ポリープ Inflammatory Fibroid Polyp の1例

概要

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Inflammatory fibroid polyp in the gastrointestinal tract was a rare disease. In the reported series most lesions were in the stomach and small intestine, but rarely in the large intestine, but not in the rectum. W e reported a case of inflammatory fibroid polyp in the rectum.<BR>A 28-year-old man visited our hospital with chief complaints of increased bowel movement, feeling of residuary stools and narrow caliber of stool. Barium enema and colonofiberscopy showed a polyp on the posterior wall of the rectum. Digital examination of the rectum revealed an elastic hard polyp with a clear margin, smooth surface, and good mobility. The polyp was located approximately 6 cm from the anal verge. Transrectal echography demonstrated the polyp in the submucosal layer and partially in the proper muscle layer. The polyp was resected by colonoscopic polypectomy. Histopathological examination revealed an inflammatory fibroid polyp of the rectum. The 174 cases of the inflammatory fibroid polyp in the stomach and 60 cases of it in the small intestine have been reported in Japan. Only 12 cases, however, was found in the large intestine in Japan and our case was the first one in the rectum.
日本大腸肛門病学会の論文