Gastroenterology

Gastroenterology

Volume 135, Issue 5, November 2008, Pages 1465, 1808
Gastroenterology

Clinical Challenges and Images in GI
Clinical Challenges and Images in GI

https://doi.org/10.1053/j.gastro.2008.10.008Get rights and content

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Image 3

Question: A 60-year-old man presented with acute onset of central abdominal pain radiating into his back. He was tachycardic with severe epigastric tenderness. Computed tomography (CT) confirmed a perforated viscus, most probably upper gastrointestinal in origin (Figure A).

At laparotomy, a Billroth II gastrectomy was performed for a perforation found in the bed of thickened gastric mucosa within the antrum of the stomach (Figure B). The patient made an excellent recovery and was discharged 8

Answer to the Clinical Challenges and Images in GI Question: Image 3 (page 1465): Inflammatory Fibroid Polyp

Inflammatory fibroid polyp (IFP), also known as Vanek's tumor, has not previously been reported to have presented as an acute gastric perforation. IFPs are rare, benign tumors arising from the submucosa of the gastrointestinal tract. Vanek first described this tumor in 1949 as a “granuloma with eosinophilia.”1 Its peak prevalence is found between 6th and 7th decades of life.2 There remains considerable uncertainty regarding the etiology of IFPs; however, it is thought to develop as a result of

References (5)

  • J. Vanek

    Gastric submucosal granuloma with eosinophilic infiltration

    Am J Pathol

    (1949)
  • Y.I. Kim et al.

    Inflammatory fibroid polyps of the gastrointestinal tractEvolution of histologic patterns

    Ann J Clin Pathol

    (1988)
There are more references available in the full text version of this article.

The authors disclose no conflicts.

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