A case of inflammatory fibroid polyp of the stomach with an "erect penis like appearance" successfully removed by endoscopic submucosal dissection.
A 37-year-old woman was diagnosed by esophagogastroduodenoscopy (EGD) as having a 15-mm subepithelial lesion (SEL) in the gastric body. For 2 years, she experienced epigastric pain and anemia; she then underwent emergency EGD, which revealed a significant morphological change of the lesion. The SEL had a disintegrated tip and its submucosal portion was substantially exposed out of the mucosa, showing an "erect penis like appearance". Based on the pathological findings of biopsied samples from the exposed portion and the endoscopic features, an inflammatory fibroid polyp (IFP) was suspected. This lesion was considered responsible for the anemia and was removed by endoscopic submucosal dissection (ESD). The pathological findings confirmed the lesion to be IFP. This report presents a case of gastric IFP that showed a marked morphological change and unique endoscopic features and was successfully removed by ESD.
['Watahiki|Yu|Y|', 'Hikichi|Takuto|T|http://orcid.org/0000-0002-9815-1557', 'Watanabe|Ko|K|', 'Nakamura|Jun|J|', 'Kikuchi|Hitomi|H|', 'Hahimoto|Minami|M|', 'Takagi|Tadayuki|T|', 'Suzuki|Rei|R|', 'Sugimoto|Mitsuru|M|', 'Konno|Naoki|N|', 'Sato|Yuki|Y|', 'Irie|Hiroki|H|', 'Ohira|Hiromasa|H|']
D000328:Adult D000069916:Endoscopic Mucosal Resection D016145:Endoscopy, Digestive System D005260:Female D006801:Humans D011127:Polyps D013272:Stomach Diseases
Inflammatory fibroid polyp Endoscopic submucosal dissection Subepithelial lesion Endoscopic resection Endoscopic ultrasonography