The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. This is particularly important when the recommended agent is a new and/or infrequently employed drug.ĭisclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. Distribution permitted for non-commercial purposes only.ĭrug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. laparotomy and found a carcinoma of the hepatic flexure of the colon invading extensively the right lobe of the liver.
#Hepatic flexture of colon license#
Open Access License: This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) ( applicable to the online version of the article only. Open Access License / Drug Dosage / Disclaimer These findings are consistent with a histopathological diagnosis of IFP. The name of this structure is influenced by its proximity to the liver the word hepatic comes from hpar, which means liver in Greek. The spindle cells were positive for CD34 and S100 but negative for c-kit and muscle markers. The hepatic flexure, also known as the right colic flexure, is found in the digestive system of the human body and creates the bend in the colon that connects the ascending colon and the transverse colon. Proliferation of spindle cells and infiltration of inflammatory cells such as plasma cells and eosinophils were observed. Histologically the polyp was located in the submucosa of the gastrointestinal tract. After these measures we were able to resect the stalk and the polyp was retrieved. We placed an endoclip at the base of the stalk and then applied argon plasma coagulation at 1.0 l/min and 40 W. However the polyp stalk was extremely difficult to resect despite several attempts with the hot snare. After saline injection, we attempted to remove the polyp with a hot snare. A 12-mm pedunculated polyp was found at the hepatic flexure of the colon. A 74-year-old asymptomatic female underwent a screening colonoscopy in our hospital. We present a rare case of a pedunculated IFP in the hepatic flexure of the colon treated successfully with a combination of argon plasma coagulation, endoclipping and polypectomy. Histologically IFP is characterized by a mixture of numerous small vessels, fibroblasts and edematous connective tissue associated with marked inflammatory infiltration by eosinophils. Most IFPs occur in the stomach and colonic occurrence is very rare. Inflammatory fibroid polyp (IFP) is a rare benign polypoid lesion of the gastrointestinal tract.
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