Anastomotic  colonic inflammatory polyp as a cause of large bowel obstruction: a case report

We report the case of a 55-year-old male who complained of colicky abdominal pain, progressive abdominal distension,constipation and bilious vomiting, eight days after a left hemicolectomy and colo-colic anastomosis. The previous operation was for a colo-colic intussusception where a submucous lipoma was found as the lead point. Physical examination revealed a middle aged man in obvious respiratory distress, tachycardia,grossly distended abdomen and absent bowel sound .A clinical diagnosis of intestinal obstruction was made, resuscitation with intravenous fluid was commenced, nasogastric tube was passed for decompression and a Foley’s catheter was passed. Plain abdominal radiograph showed distended bowel loops mainly in the periphery and lack of bowel gas in the rectum. He underwent an emergent laparotomy.The anastomotic site was completely obstructed, it was resected, and an end colostomy was sited. Histopathology revealed inflammatory polyp.Colostomy reversal was performed a few months later .