Triple Intussusception in an Adult—A Rare Presentation of Adenocarcinoma Ileum (original) (raw)
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A rare case of primary small bowel adenocarcinoma with intussusception
Tumori
Other than in childhood, intussusception is unusual and nearly always caused by a structural and well demonstrable lesion. In contrast with the colon tract, the incidence of primary malignancies in the small bowel is very low. We report the case of a 51-year-old man presenting with jejunal intussusception due to a primary adenocarcinoma. To our knowledge, only a few similar cases have been reported in the literature to date. The patient was referred to our division for bowel obstruction. A CT scan showed a jejunal intussusception and surgical exploration was hence considered. At laparotomy, jejunal intussusception located just after the ligament of Treitz due to a polypoid lesion was confirmed and resection of the first jejunal loop was carried out. Histological examination of the specimen resulted in a diagnosis of a primary adenocarcinoma of the small bowel. In adult intestinal intussusception, resection without reduction is considered the optimal management if an underlying primary malignancy cannot be excluded. Free full text available at www.tumorionline.it Tumori, 96: 355-357, 2010
Journal of Surgical Case Reports, 2018
Intussusception is a rare cause of bowel obstruction in adults, and has generally an organic etiology. However, adenomatous polyp of the small bowel is an uncommon etiology. Moreover, there's a great difference with childhood intussusception in its presentation, etiology and management. We describe herein a case of adult ileocecal intussusception due to an adenomatous ileal polyp with a preoperative diagnosis made on computed tomography. We performed a right hemicolectomy, without attempting to reduce the intussusception, and an end-to-end ileotransverse anastomosis. The pathological examination of the surgical specimen revealed an adenomatous polyp with a high grade dysplasia on the terminal ileum, being the cause of the ileocecal intussusception.
A semi-emergency surgery case of jejunal intussusception in an adult due to tumor
Annals of Cancer Research and Therapy, 2020
The present case report describes a 21-year-old male patient with intussusception of the small intestine due to adenoma. The patient presented with acute onset of severe abdominal pain, with clinical symptoms and preoperative ultrasonography raising a differential diagnosis of intussusception. Laparotomy identified a mass lesion within the small intestine as the leading point of intussusception, highlighting the importance of preoperatively evaluating neoplastic lesions in adult intussusception.
Case Reports in Medicine, 2012
Intussusception is the cause of around 1% of all bowel obstructions in adults. Unlike in children, where intussusception is most often idiopathic in nature, cases in adults usually have an identifiable etiology, most commonly malignancy. Symptoms are usually non-specific, but timely identification and management is crucial due to high rates of carcinoma as the lead point of intussusception. Here we present a rare case of mucinous adenocarcinoma of the colon that presented as ileoileal intussusception. Diagnostic and treatment issues are also discussed.
2021
Introduction: Intussusception is a clinical condition caused by the “telescopic” prolapse of a proximal part of the bowel into a distal one. In the pediatric age it is a common disease with idiopathic etiology. In adult intussusception is a rare condition and symptoms rarely are acute and are often non-specific, causing a delayed diagnosis. Clinical Report: This report presents the case of a 72-years old woman complaining recurrent abdominal pain with sub-occlusive episodes, who was eventually diagnosed with intussusception caused by an ileal adenocarcinoma, after one year of recurring symptoms. Discussion: Adult intussusception is a rare condition often caused by an underlying benign or malignant disease. The difficult to recognize specific symptoms leads often to a diagnostic delay and in many cases a correct diagnosis is made only during the surgery. Conclusion: Adult intussusception is an infrequent condition that can hide a malignant disease. For this reason surgery should be c...
Adult intussusception by tumor in ileum: a diagnostic dilemma
Intussusception in adults is an infrequent cause of intestinal obstruction; preoperative diagnosis is difficult as symptoms can be intermittent and long standing. This relatively rare entity differs from the childhood form in its etiology, presentation and treatment. We present two cases of ileo-colic intussusception in adults, with a clinical presentation that mimicked complicated appendicitis. These cases remind us that both ileal tumors and intussusception must be included in the diagnosis of lower abdominal pain.
International Surgery Journal, 2019
SBAC presents with nonspecific symptoms like vague abdominal pain, anorexia, weight loss and anaemia, resulting delay in diagnosis and poor survival rate. 5 Patient usually presents with an advanced, complicating disease like sub-acute to acute intestinal obstruction, haemorrhage and perforation. 6 Intestinal obstruction is most common complication, present with abdominal pain, distension, vomiting and absolute constipation. Complicated cases usually present to general surgeon on ABSTRACT Primary adenocarcinoma arising from small bowel is a rare entity account 1-2% of all GIT malignancies. Adenocarcinoma is the second most malignant lesion of the small bowel after carcinoid tumour followed by lymphoma and GISTs. Duodenum is the common site followed by jejunum and ileum within the small bowel. About 48years old male presented with symptoms and signs of intestinal obstruction i.e. pain and distension of the abdomen with bilious vomiting and absolute constipation. Case was diagnosed as intestinal obstruction provisionally. USG reported as ileocecal intussusceptions with mesenteric lymphadenopathy and was confirmed by CECT. After laparotomy, growth was found at ileocecal junction. Right hemicolectomy along with lymphadenectomy was done and specimen sent for HPE. HPE revealed well differentiated adenocarcinoma, arising from terminal ileum at ileocecal junction with ileo-ileal intussusception. Small bowel adenocarcinoma is rare, further rare in ileocecal junction, radiologically presented as ileo-cecal intussusception. However, lymph nodal enlargement put us in diagnostic dilemma. Author are interested to report this case because of its rarity (incidence of adenocarcinoma terminal ileum is extremely rare and presentation as intussusception is diagnostic challenging.
Adult Intussusception Secondary to Colorectal Cancer in a Young Woman: A Case Report
Global Surgery Case Reports, 2020
Adult intussusception (AI) is uncommon condition that represents 1-5 % of intestinal obstruction and is frequently caused by an underlying disease with 70-90% of cases having a demonstrable cause based on imaging findings and surgical results. The most common causes of colonic AI are neoplasm. We report a case of right colo-colic intussusception sustained by a malignant tumor.
Jejunojejunal intussusception caused by a jejunal gastrointestinal stromal tumour (GIST)
Hellenic Journal of Surgery, 2014
Introduction: Adult intussusception represents a challenge to the surgeon as it can cause acute, subacute or chronic non-specific obstruction and presents with dubious clinical features. Case Report: A forty-six-year-old female presented with progressively worsening abdominal pain, mild abdominal distension, anorexia, profuse vomiting and constipation that had begun thirty six hours earlier. Discussion: Primary or metastatic malignancies are responsible for 14-47% of all small bowel intussusceptions; in the large bowel 66% of cases have malignant aetiology. In contrast, abdominal X-rays display an intussusception as stacked coins or a coiled spring in the upper GI series and cup-shaped defect in contrast enema. The treatment of choice in adult intussusception is always surgical. Conclusion: Adult intussusception is a rare entity that may present a diagnostic dilemma due to its non-specific symptoms. However, controversy surrounds the need for reduction and extent of surgical resection.
Hippokratia, 2019
BACKGROUND Bowel intussusception in adults remains a rare and constant diagnostic challenge for surgeons. It has an incidence of around 2-3 new cases per million per year, and its primary cause is benign or malignant neoplasms of the small bowel and colon. This report aims to outline the importance of high clinical suspicion regarding intussusception in adults presenting with abdominal pain in the emergency department. Case report: This is a retrospective review of three cases of adult ileocecal intussusception that were treated in a single surgical department in three years (2015-2018). All patients underwent right hemicolectomy in keeping with the principles of surgical oncology. Each patient had a different clinical presentation, while, in terms of the underlining pathology, the first had an adenocarcinoma of the ascending colon, the second an adenocarcinoma of the ileocecal valve, and the third one an inflammatory fibroid polyp of the ileocecal valve, also known as Vanek's ...