scholarly journals Ileocecal intussusception extending to left colon due to endometriosis

2018 ◽  
Vol 100 (3) ◽  
pp. e62-e63 ◽  
Author(s):  
M Rodriguez-Lopez ◽  
M Bailon-Cuadrado ◽  
FJ Tejero-Pintor ◽  
E Choolani ◽  
G Fernandez-Perez ◽  
...  
Keyword(s):  
Adult Population ◽  
Great Majority ◽  
Right Hemicolectomy ◽  
Left Colon ◽  
Lead Point ◽  
Ileocolic Intussusception ◽  
Rare Presentation ◽  
Bowel Involvement ◽  
Ileocecal Intussusception ◽  
Manual Extraction

Bowel involvement in endometriosis is uncommon and is most frequently located in the sigmoid colon and the rectum. We present a case in a 37-year-old woman of a cecal endometrioid mass complicated with an ileocolic intussusception which extended beyond the splenic colon flexure. Careful manual extraction allowed a reduction of the intussusceptum, followed by an oncological right hemicolectomy. The patient suffered postoperative ileus, which was spontaneously solved. Intussusception is infrequent in the adult population and usually involves the small bowel. The great majority of ileocolic intussusceptions have a malignant origin (cecal adenocarcinoma). An endometriotic mass located at the cecum as the lead point for ileocolic intussusception is an extremely rare presentation. On reviewing the literature, we found only 13 reports with no other cases extending beyond the splenic flexure, as occurred in our patient.

scholarly journals Rare presentation of ileocolic intussusception secondary to mantle cell lymphoma

2019 ◽  
Vol 12 (8) ◽  
pp. e229425
Author(s):  
Veeresh Aukhojee ◽  
Creski M Gilong ◽  
Gayatri Seewoogoolam ◽  
Paul N Strauss
Keyword(s):  
Mantle Cell Lymphoma ◽  
Cell Lymphoma ◽  
Adult Population ◽  
Right Hemicolectomy ◽  
Sudden Onset ◽  
Hepatic Flexure ◽  
Ileocolic Intussusception ◽  
Abdominal Ct ◽  
Rare Presentation ◽  
Mantle Cell

Mantle cell lymphoma is a type of B-cell non-Hodgkin’s lymphoma (NHL) and accounts for 3%–6% of all adult NHL.1 2 Bowel intussusception secondary to lymphoma is rare in adults, accounting for only 4% of all cases.3The authors present the case of a 53-year-old man, recently diagnosed with mantle cell lymphoma, who presented with sudden onset right-sided abdominal pain and was found to have ileocolic intussusception up to the hepatic flexure on abdominal CT. He underwent an emergency right hemicolectomy and intraoperatively, the terminal ileum could be seen telescoping into the caecum, up to the hepatic flexure. Although intussusception is uncommon in the adult population, an underlying bowel pathology should always be considered and prompt imaging should be organised to confirm the diagnosis and allow initiation of management in a timely manner.

scholarly journals Adult Ileocolic Intussusception from the Appendix

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Natalie Green ◽  
William Krantz ◽  
Allison Tadros
Keyword(s):  
Abdominal Pain ◽  
Adult Patient ◽  
Pediatric Patient ◽  
Adult Patients ◽  
Lead Point ◽  
Ileocolic Intussusception ◽  
Ileocecal Intussusception

Intussusception is more commonly considered in the pediatric patient with abdominal pain, but can occur in adults as well. Adult patients are more likely to have an underlying intra-abdominal pathology leading to the condition. We present an adult patient presenting with abdominal pain with ileocecal intussusception diagnosed on imaging and confirmed surgically. In this case, appendiceal pathology served as the lead point for the intussusception.

scholarly journals A case of adult intussusception with greyscale, contrast-enhanced ultrasound and computerised tomography correlation

Ultrasound ◽  
2016 ◽  
Vol 25 (2) ◽  
pp. 120-125 ◽  
Author(s):  
Vasileios Rafailidis ◽  
Claudette Phillips ◽  
Gibran Yusuf ◽  
Paul Sidhu
Keyword(s):  
Adult Population ◽  
Paediatric Population ◽  
Adult Intussusception ◽  
Lead Point ◽  
Contrast Enhanced Ultrasound ◽  
Computerised Tomography ◽  
First Line ◽  
Rare Presentation ◽  
Iodinated Contrast ◽  
Contrast Enhanced

Intussusception is often misdiagnosed as a cause of bowel ischemia and obstruction among adults due to its relatively rare presentation outside of the paediatric population. Ultrasound is often the first-line investigation for non-specific abdominal pain and can identify the presence of intussusception. In the adult population, it is essential to evaluate for causes and consequences of intussusception; as a result, computerised tomography is often deemed necessary. However, contrast-enhanced ultrasound allows for evaluation of potential causes and complications, including a neoplastic lead point and ischaemia of the bowel, whilst avoiding ionising radiation or nephrotoxic iodinated contrast. We report a case of adult intussusception with a polyp lead point with ultrasound, contrast-enhanced ultrasound and computerised tomography correlation.

scholarly journals Conservative Treatment of Puerpera with Severe Hemorrhagic Shock and Secondary Coagulopathy

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Dejan Lazic ◽  
Vesna Stankovic ◽  
Dragce Radovanovic ◽  
Mladen Pavlovic ◽  
Miladin Boskovic ◽  
...  
Keyword(s):  
Hospital Admissions ◽  
Abdominal Mass ◽  
Ileocecal Valve ◽  
Right Hemicolectomy ◽  
Adult Intussusception ◽  
Lead Point ◽  
Rare Type ◽  
Risk Of Malignancy ◽  
Ileocecal Intussusception ◽  
Intestinal Obstructions

AbstractAdult intussusception is a rare entity which is distinct from paediatric cases in incidence, aetiology, and management. It represents 5% of all intussusceptions and is the cause of 1% of all intestinal obstructions, 0,08% of all abdominal surgeries and 0,003-0,02% of all hospital admissions. Ileocolic intussusception in adults is a unique variant in which nearly 100% of cases have a malignant lead point. In our report, we described a case of a patient with ileocecal intussusception caused by a rare type of the gastrointestinal tumor. The female patient was admitted to hospital for occasional pain in the lower right quadrant of the abdomen followed by abdominal discomfort and appearance of blood in the stool. The result of CT scan of the abdomen and pelvis showed a tumor mass and intussusception at the ileocecal junction, which was confirmed peroperatively. Open right hemicolectomy was performed adhering to oncological principles. The final pathologic diagnosis indicated the gastrointestinal stromal tumor of the ileocecal valve. The diagnosis of intussusception in adults is delicate, and timely surgical treatment can be vital. Patients with the palpable abdominal mass, digestive tract obstruction, gastrointestinal bleeding, or lead point computed tomography must undergo a surgical examination. Given a high risk of malignancy, primary surgical resection using oncologic principles presents the best option for the treatment of ileocecal intussusception in adults.

scholarly journals Appendiceal Neuroendocrine Tumours - Experience of One Service

2021 ◽  
Author(s):  
Vítor Devezas ◽  
Laura Elisabete Barbosa
Keyword(s):  
Retrospective Study ◽  
Acute Appendicitis ◽  
Neuroendocrine Tumours ◽  
Adult Population ◽  
Right Hemicolectomy ◽  
Good Prognosis ◽  
Alive Today

AbstractTumours of the appendix are rare and tend to be diagnosed incidentally, in cases of acute appendicitis. For some authors, appendiceal neuroendocrine tumours (ANETs) are the most frequent neoplasm of the appendix, observed in 0.3% to 0.9% of cases acute appendicitis. The present is a unicentric retrospective study conducted between January 2005 and March 2017. Out of a total of 3,007 surgeries for appendiceal pathologies performed in the adult population at the hospital where the present study was conducted, there were 70 (2.33%) malignant cases, 20 (28.6%) of which were ANETs. The patients had a median age of 44 years (range: 18 to 85 years), and were predominantly women (there were 1.9 times more women than men). In 16 cases (80%), a simple appendicectomy was performed (1 patient was submitted to a right hemicolectomy later). The cases of ANETs had a good prognosis in our series: 85% of the patients are either alive today or were alive after 5 years of follow-up. Despite the fact that ANETs are described as the most frequent tumor of the appendix, this was not confirmed in our series, in which they only represented 28.6% of the cases; adenocarcinoma was the most frequent tumor (65.7%) among our sample.

scholarly journals Ileocolic intussusception as a presenting sign of primary lymphoma of the colon

2011 ◽  
Vol 139 (9-10) ◽  
pp. 673-676 ◽  
Author(s):  
Milica Nestorovic ◽  
Goran Stanojevic ◽  
Vesna Brzacki ◽  
Vesna Milojkovic ◽  
Branko Brankovic ◽  
...  
Keyword(s):  
Malignant Neoplasm ◽  
Radical Resection ◽  
Right Hemicolectomy ◽  
Primary Lymphoma ◽  
Ileocolic Intussusception ◽  
Diagnostic Challenge ◽  
Abdominal Ultrasonography ◽  
Atypical Symptoms ◽  
Colorectal Lymphoma ◽  
The Right

Introduction. Intussusception is a rare phenomenon in adults. It is caused mainly by malignant neoplasm. Primary lymphoma of the colon is a rare malignancy of the large intestine. The association of intussusception in adult and primary colorectal lymphoma is a diagnostic challenge, since they occur with a variety of atypical symptoms. Case Outline. We report a case of ileocolic intussusception in a 26-year-old man induced by primary lymphoma of the cecum. He was admitted to our hospital for incomplete intestinal obstruction. After thorough diagnostic work-up (plain abdominal radiography, abdominal ultrasonography, multi-slice computerized tomography, colonoscopy with biopsy), the patient underwent surgery. Intraoperative findings confirmed lymphoma as the cause of intussusception. The right hemicolectomy was carried out with end-to-side ileo-transverse anastomosis. Conclusion. Primary colorectal lymphomas should be considered in differential diagnosis of intussusceptions in adults. The treatment of choice is a radical resection where all oncological standards must be fulfilled.

Appendiceal inversion as a lead point for recurrent ileocolic intussusception in a child with cystic fibrosis

2000 ◽  
Vol 118 (4) ◽  
pp. A62
Author(s):  
Thomas M. Attard ◽  
Frederic B. Askin ◽  
Carmen Cuffari
Keyword(s):  
Cystic Fibrosis ◽  
Lead Point ◽  
Ileocolic Intussusception

scholarly journals Adult Burkitt’s lymphoma presenting as intussusception: first UK case report

2017 ◽  
Vol 99 (7) ◽  
pp. e206-e208 ◽  
Author(s):  
R Simson ◽  
A Planner ◽  
Roderick Alexander
Keyword(s):  
Epigastric Pain ◽  
Recurrent Abdominal Pain ◽  
Burkitt’S Lymphoma ◽  
Right Hemicolectomy ◽  
Burkitt's Lymphoma ◽  
Adult Intussusception ◽  
Lead Point ◽  
History Of ◽  
The Uk ◽  
Specific Symptoms

Colonic intussusception is rare in adults and can present with non-specific symptoms that can make diagnosis difficult and delayed. Unlike in children, it is commonly due to a pathological lead point that is often malignant. This case is the first reported case of adult intussusception due to Burkitt's lymphoma in the UK. We describe the case of a 22-year-old woman who presented with 4-week history of intermittent epigastric pain. On the third hospital admission, the diagnosis was made by abdominal computed tomography, which showed the ‘target’ sign, suggestive of intussusception. A right hemicolectomy was performed and histology later confirmed Burkitt’s lymphoma. This case demonstrates the difficulty in diagnosing intussusception in adults, which must be considered in recurrent abdominal pain when more common causes have been ruled out. The rare diagnosis of Burkitt’s lymphoma made early diagnosis and treatment important.

scholarly journals Increase in clinically recorded type 2 diabetes after colectomy

eLife ◽  
2018 ◽  
Vol 7 ◽  
Author(s):  
Anders B Jensen ◽  
Thorkild IA Sørensen ◽  
Oluf Pedersen ◽  
Tine Jess ◽  
Søren Brunak ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Glucose Homeostasis ◽  
Total Colectomy ◽  
Right Hemicolectomy ◽  
Left Colon ◽  
Left Hemicolectomy ◽  
Partial Colectomy ◽  
Glucagon Like Peptide ◽  
Glucagon Like Peptide 1

The colon hosts gut microbes and glucagon-like peptide 1 secreting cells, both of which influence glucose homeostasis. We tested whether colectomy is associated with development of type 2 diabetes. Using nationwide register data, we identified patients who had undergone total colectomy, partial colectomy, or proctectomy. For each colectomy patient, we selected 15 non-colectomy patients who had undergone other surgeries. Compared with non-colectomy patients, patients with total colectomy (n = 3,793) had a hazard ratio (HR) of clinically recorded type 2 diabetes of 1.40 (95% confidence interval [CI], 1.21 to 1.62; p<0.001). Corresponding HRs after right hemicolectomy (n = 10,989), left hemicolectomy (n = 2,513), and sigmoidectomy (n = 13,927) were 1.08 (95% CI, 0.99 to 1.19; p=0.10), 1.41 (95% CI, 1.19 to 1.67; p<0.001) and 1.30 (95% CI, 1.21 to 1.40; p<0.001), respectively. Although we were not able to adjust for several potential confounders, our findings suggest that the left colon may contribute to maintenance of glucose homeostasis.

scholarly journals EXTENSIVE JEJUNAL AND COLONIC INTUSSUSCEPTION IN A CHILD OF 4 MONTHS

2018 ◽  
Vol 22 (5) ◽  
pp. 272-274
Author(s):  
O. V. Karaseva ◽  
Denis E. Golikov ◽  
A. L. Gorelik ◽  
A. Yu. Kharitonova ◽  
M. V. Tumanova ◽  
...  
Keyword(s):  
Clinical Picture ◽  
Intestinal Anastomosis ◽  
Craniocerebral Trauma ◽  
Diagnostic Algorithm ◽  
Necrotic Area ◽  
Lead Point ◽  
Ileocolic Intussusception ◽  
Short Term ◽  
Rare Type ◽  
Specialized Hospital

Extensive jejunal and colonic intussusception is a rare type of intestinal impaction. The aim of the work is to present a therapeutic-diagnostic algorithm for an atypical clinical picture of a rare form of intussusception of intestines (II) in a child of 4 months. A clinical observation of extensive ileocolic intussusception was carried out in a 4-months-old child admitted to the clinic to exclude craniocerebral trauma 34 hours after falling from a height of 1 m. Results. The main reason for seeking medical help was repeated vomiting and lethargy in a child, occurred one day after the fall. The identification of bloody discharge from the anus was a reason for excluding II. The consecutive use of ultrasound, colonoscopy made it possible to confirm the diagnosis, diagnose irreversible circulatory disorders in the invaginate and determine the indications for laparotomy. The absence of peritonitis allowed performing a resection of the necrotic area of the intestine with the application of intestinal anastomosis after desintussusception. Factors provoking the disease were the introduction of a new nutritional formula in the diet and the “lead point” in the form of a Meckel›s diverticulum Conclusion. The symptom of “blood in the stool”, even in the absence of a typical clinical picture, requires the exclusion of II. The diagnostic arsenal (ultrasound, colonoscopy, laparoscopy) in a specialized hospital with rare forms of II allows short-term diagnosing and choosing a rational surgical tactic. The absence of peritonitis during resection of the necrotic area of the intestine makes it possible to perform the anastomosis.

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