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February 15, 1980

Inflammatory Fibroid Polyp of the Small Intestine

JAMA. 1980;243(7):651. doi:10.1001/jama.1980.03300330015015

To the Editor.—  Inflammatory fibroid polyp of the gastrointestinal tract is a rare benign lesion, usually located in the stomach. To our knowledge, only 24 cases have been described in the ileum.1 Because of easy confusion with a malignant neoplasm, a correct diagnosis is important. Recently we treated a patient for acute small-bowel obstruction caused by such a lesion.

Report of a Case.—  A 78-year-old woman was admitted to the hospital because of acute abdominal pain and vomiting of 24 hours' duration. Her past history was noncontributory. She was in good general condition, with a pulse of 72 beats per minute and regular, and blood pressure of 120/80 mm Hg. The abdomen was distended and tender with hypoactive peristaltic sounds. The WBC count was 8,200/cu mm, with a normal differential cell count. Abdominal roentgenograms showed distention of the ileum with air-fluid levels. Results of the barium enema examination were