Inflammatory Fibroid Polyp of the Ileum in Newly-diagnosed Crohn's Disease Patients

Introduction: Inflammatory fibroid polyps are benign submucosal polyps of the gastrointestinal tract. They are found mainly in the stomach but also in the small bowel where they can cause small bowel obstruction and intussusception. The treatment is surgical resection of the polyp. Few cases have been reported in Crohn's disease patients. We describe two cases of newly-diagnosed ileal Crohn's disease with concomitant inflammatory fibroid polyp presenting in an unusual way. Case report: Two female patients aged 38 and 54 years respectively presented with abdominal pain without bowel obstruction. Colonoscopy and CT demonstrated a mass in the ileum. Surgical resection of the terminal ileum and cecum were performed. Pathological examination showed an inflammatory fibroid polyp in each case. Both patients had Crohn's disease recurrence and required immunomodulator treatment on follow-up. Conclusion: Inflammatory fibroid polyps of the terminal ileum can occur in Crohn's disease patients with nonobstructive clinical presentation.