Case Report
Copyright ©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Aug 7, 2009; 15(29): 3687-3690
Published online Aug 7, 2009. doi: 10.3748/wjg.15.3687
Obstructive ileus due to a giant fibroepithelial polyp of the anus
Ioannis Galanis, Dimitrios Dragoumis, Michail Tsolakis, Konstantinos Zarampoukas, Thomas Zarampoukas, Konstantinos Atmatzidis
Ioannis Galanis, Dimitrios Dragoumis, Michail Tsolakis, Konstantinos Zarampoukas, Thomas Zarampoukas, Konstantinos Atmatzidis, 2nd Surgical Clinic, Aristotle University of Thessaloniki, “G. Gennimatas” District Hospital, Ethnikis Aminis 41, Thessaloniki 54 635, Greece
Author contributions: Galanis I and Dragoumis D designed the study; Tsolakis M, Zarampoukas K and Zarampoukas T acquired, analyzed and interpreted the data; Atmatzidis K revised and finally approved the final version.
Correspondence to: Ioannis Galanis, MD, PhD, 2nd Surgical Clinic, Aristotle University of Thessaloniki, “G. Gennimatas” District Hospital, Ethnikis Aminis 41, Thessaloniki 54 635, Greece. galanis.ioannis@gmail.com
Telephone: +30-2310-430149
Fax: +30-2310-430149
Received: March 17, 2009
Revised: April 24, 2009
Accepted: May 1, 2009
Published online: August 7, 2009
Abstract

Fibroepithelial polyps or hypertrophied anal papillae are essentially skin tags that project up from the dentate line and the junction between the skin and the epithelial lining of the anus. They are usually small in size, but sometimes they become enlarged, causing unexpected medical conditions. An extremely rare case of a giant hypertrophied anal papilla complicated by obstructive ileus is reported. Fibroepithelial anal polyp, despite its size, should be included in the differential diagnosis of a smooth mass located near the anal verge, especially in a patient with a history of chronic anal irritation or infection.

Keywords: Anus, Fibroepithelial polyp, Hypertrophied anal papillae, Ileus, Intestinal obstruction