Colon inflammatory fibroid polyp in a patient with von Recklinghausen’s disease: endoscopic aspect with narrow-band imaging and magnification

摘要

Fig. 2 Endoscopic aspect of the inflammatory fibroid polyp. a, b Avascular and amorphous whitish area. c Pedunculated aspect after injection. d Narrow-band imaging aspect of the resected specimen. Video 1 Endoscopic aspect and resection of an inflammatory fibroid polyp. Georg Thieme Verlag. Please enable Java Script to watch the video.Download The lesion was resected en bloc by endoscopic mucosal resection with a large safety margin on the stalk. Pathological examination, after expert discussion (because of the atypical features), concluded a diagnosis of inflammatory fibroid polyp resected totally with safe margins, and not to a neurofibroma or a stromal tumor.This case illustrates the lack of specificity of the invasive mucosal and vascular pattern of colorectal lesions, as has been demonstrated previously for inflammatory reactions after diverticulitis [5]. The lack of demarcation line, the pedunculated shape, and the past history of von Recklinghausen’s disease may suggest the possibility of choosing endoscopic resection or biopsy sample instead of sending the patient for surgical management. Endoscopic resection with safe margins facilitates a precise pathological assessment to avoid the risk of incomplete resection and, as in the current case, unnecessary colectomy.Endoscopy_UCTN_Code_CCL_1AD_2ACEndoscopy E-Videos https://eref.thieme.de/e-videos Endoscopy E-Videos is a free access online section, reporting on interesting cases and new techniques in gastroenterological endoscopy. All papers include a high quality video and all contributions are freely accessible online.This section has its own submission website at https://mc.manuscriptcentral.com/e-videos