Gastric Inflammatory Fibroid Polyp: Report of a Case

  The gastric inflammatory fibroid polyp (IFP) is a rare benign tumor of unknown etiology that is localized mainly in the antrum and presents endoscopically as submucosal mass. The lesion manifests as abdominal pain, weight loss, bleeding, dyspeptic symptoms, and iron deficiency anemia. We report a case of gastric IFP presented with microcytic anaemia, dyspepsia, malena and weight loss. Endoscopy revealed presence of a sessile gastric antral polyp. A clinical diagnosis of gastric malignant polyp was suspected. Microscopic examination revealed the presence of mononuclear fusiform fibroblast like cells, arranged in fascicles and whorl formation around vessels, in an inflammatory background rich in eosinophils. The fusiform cells appeared uniform and had abundant cytoplasm with pale spindle shaped nuclei. We highlight the case because of its rarity amongst the different types of gastrointestinal polyps and its unusual presentation like anaemia and weight loss with clinical suspicion of malignant gastric polyp.