Abstract
A case of inflammatory fibroid polyp of the gallbladder in a 46-year-old man is reported herein.
The patient was admitted to the Hamamatsu Medical Center with intermittent abdominal pain and high fever in February 1982. His clinical history revealed that he had laparotomy for liver rupture in 1969, choledochojejunostoy in 1970 and cholecystojejunostomy in 1973 for common duct stones, respectively. Hepaticojejunostomy carried out on March 3,1982. The gallbladder contained a few calcium bilirbuinate stones. The mucosa was congested and relatively preserved. A small pedunculated polyp,3×3×4 mm in size, was incidentally found in the fundus near the site of cholcystojejunostomy. The surface of the polyp appeared smooth and yellowreddish. Histologically, the polyp was composed of young connective tissue with a vascular network and an inflammatory infiltrate. The overlying mucosa was ulcerated. The stalk of the polyp extended into the muscularis mucosae. The gallbladder showed “acute on chronic” cholecystitis.
This case may represent the first reported of inflammatory fibroid polyp in th i s location. This rare polyp of the gallbladder is reported and the nature of the process is discussed with a brief review of the literature.
