A rare ileal tumor causing anemia and intussusception: inflammatory fibroid polyp.

A 41-year-old female patient with symptoms of severe abdominal pain, vomiting, diarrhea, rectal bleeding, and weight loss was sent to our endoscopy unit for a colonoscopy. The full blood count revealed hemogram 8.6 g/dL and hematocrit 28%. Colonoscopic investigation revealed a fragile and bleeding tumoral mass at the level of the cecum that obstructed the lumen completely (Figure 1a). At surgery, an ulcerated mass that localized at the final section of the ileum and invaginated to the colon was found. When the specimen was opened, an ulcerative 5-cm mass located 12 cm from the ileocecal valve was seen (Figure 1b). The histopathology evaluation of the specimen led to a diagnosis of inflammatory fibroid polyp (IFP) (Figure 2). Microbiological evaluation showed Actinomyces israelii in the tissue. The anemia recovered during postoperative follow-up.