The inflammatory fibroid polyps are rare lesions of the digestive tract, they were firstly described occurring in the stomach, however their distribution is universal. Several other denominations have been used to same lesion such as fibroma and eosinophilic granuloma. The clinical presentation varies according to the its location, frequently they are mistaken as gastrointestinal neoplasias. Intestinal obstruction is one of the manifestations, mainly when the lesion occurs nearby the ileum cecal region. The authors present a case of intestinal obstruction caused by a inflammatory fibroid polyp located in the ileum cecal valve, treated successfully by right colectomy.
Many patients have metastases already at diagnosis.
Bleeding metastases in the gastrointestinal tract are very rare. We present what we believe to be the first reported case of bleeding metastasis from a malignant fibrous histiocytoma of the small bowel. Blood examination revealed hypercalcemia, hyperPTHemia, and hyperprolactinemia. Neck US and CT showed enlargement of 4 parathyroid glands. Brain MRI revealed the microadenoma in left pituitary gland.