Clinical Challenges and Images in GIClinical Challenges and Images in GI
Section snippets
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)
Gastric submucosal granuloma with eosinophilic infiltration
Am J Pathol
(1949)- et al.
Inflammatory fibroid polyps of the gastrointestinal tractEvolution of histologic patterns
Ann J Clin Pathol
(1988)
Cited by (1)
The authors disclose no conflicts.
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