scholarly journals Adult intussusception as rare anomaly: case reports and management

2019 ◽  
Vol 6 (10) ◽  
pp. 3856
Author(s):  
Kirti Savyasacchi Goyal ◽  
Tejinder Pal Singh Sodhi ◽  
Maneshwar Singh Utaal ◽  
Nitish Dhawan ◽  
Mani Garg
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Emergency Surgery ◽  
Bowel Resection ◽  
Case Reports ◽  
Adult Intussusception ◽  
Laparoscopic Management ◽  
Diagnosis And Management ◽  
Feasible Option ◽  
Specific Symptoms

Adult intussusception occurs infrequently and differs from childhood intussusception in its presentation, aetiology, and treatment. Diagnosis can be delayed because of its longstanding, intermittent, and non-specific symptoms and most cases are diagnosed at emergency surgery. Use of computed tomography in the evaluation of patients with abdominal pain, the condition can be diagnosed more reliably. Treatment entails simple bowel resection in most cases. Reduction of the intussusception before resection is controversial. Laparoscopic management has been reported to be a safe and feasible option regardless of the etiology. This paper presents the diagnosis and management of two cases of adult intussusception, their presentation and management.

scholarly journals Adult Intussusception: Three Cases Reports and Review of the Literature.

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Amal Hajri ◽  
Karim Yaqine ◽  
Saad Rifki El Jai ◽  
Rachid Boufettal ◽  
Driss Errguibi ◽  
...  
Keyword(s):  
Bowel Resection ◽  
Adult Intussusception ◽  
Emergency Laparotomy ◽  
Review Of The Literature ◽  
Diagnosis And Management ◽  
Specific Symptoms

 Adult intussusception occurs infrequently and differs from childhood intussusception in its presentation, etiology, and treatment. Diagnosis can be delayed because of its longstanding, intermittent, and non-specific symptoms and most cases are diagnosed at emergency laparotomy. Treatment entails simple bowel resection in most cases. Reduction of the intussusception before resection is controversial, but there is a shift against this, especially in colonic cases. This paper presents the diagnosis and management of three cases of adult intussusception, in our hospital.

scholarly journals Retained enteroscopy capsule in a patient with diaphragm disease

2016 ◽  
Vol 98 (5) ◽  
pp. e79-e81 ◽  
Author(s):  
A-WN Meshikhes
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Bowel Resection ◽  
Diagnostic Modality ◽  
Colicky Abdominal Pain ◽  
Diaphragm Disease ◽  
Inflammatory Drugs ◽  
Subacute Intestinal Obstruction ◽  
High Index Of Suspicion

Introduction Diaphragm disease is a rare consequence of small-bowel enteropathy, and usually occurs as a result of longstanding ingestion of non-steroidal anti-inflammatory drugs. DD is characterized by multiple strictures and saccular dilatations leading to symptoms of subacute intestinal obstruction. Often, the diagnosis is made on histological examination after laparotomy and resection of diseased small bowel. Case History Here, we report a case of an elderly female who suffered for many years from chronic, colicky abdominal pain and anaemia due to undiagnosed diaphragm disease. Eventually, she was referred to our surgical team because of a retained enteroscopy capsule. The diagnosis was made after laparotomy and bowel resection. This surgical intervention alleviated chronic symptoms, and the patient remained well at 1-year follow-up. Conclusions This case highlights the difficulty of diagnosing diaphragm disease without laparotomy and bowel resection. A high index of suspicion must be exercised in any patient with chronic, colicky abdominal pain and anaemia together with multiple strictures and saccular dilatations on computed tomography even in the absence of longstanding NSAID ingestion. Moreover, capsule enteroscopy should be avoided as a diagnostic modality of small-bowel disease if computed tomography raises the suspicion of strictures.

scholarly journals Laparoscopic Repair of a Ureteric Sciatic Hernia: Report of a Case

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Yasuo Tsuzaka ◽  
Kazuhiro Saisu ◽  
Nobuo Tsuru ◽  
Yukio Homma ◽  
Hiroyuki Ihara
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Laparoscopic Repair ◽  
Review Of The Literature ◽  
Left Ureter ◽  
Drip Infusion ◽  
Diagnosis And Management ◽  
Sciatic Hernia

Ureteric sciatic hernias are extremely rare. Here we report a case of a 78-year-old woman presented with colicky left abdominal pain. Computed tomography revealed a ureteric sciatic hernia, and drip infusion pyelography revealed dilated left ureter with herniation of the ureter into the sciatic foramen. The hernia was successfully repaired laparoscopically. We have described the diagnosis and management of the patient, followed by a review of the literature on sciatic hernias.

scholarly journals A clinicopathologic study of intussusception in Nepalese adults

2020 ◽  
Vol 23 (1) ◽  
pp. 9-13
Author(s):  
Vikal Chandra Shakya ◽  
Bikram Byanjankar ◽  
Rabin Pandit ◽  
Anir Ram Moh Shrestha ◽  
Saurav Karki ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Retrospective Study ◽  
Bowel Resection ◽  
Adult Intussusception ◽  
Rare Entity ◽  
Recommended Treatment ◽  
Generalized Peritonitis ◽  
Clinicopathologic Study ◽  
Primary Reduction ◽  
The Mean

Introduction: Intussusception is rate in adults and is usually secondary to a definable pathology. This study was designed to review adult intussusception, including presentation, diagnosis, and pathology. Methods: A retrospective study of 18 cases of intussusception in individuals older than 18 years of age visiting the department of surgery of Civil Service Hospital from 2010 to 2018 was done. Results: There were 18 cases of adult intussusception. The mean age was 49.2 years (range 19-84 years). Abdominal pain and vomiting were the commonest symptoms. The median duration of presentation was 5 days (range 20 hours to 10 months). Three patients (16.6%) presented with generalized peritonitis. There were eight ileocolic, seven ileoileal, and three colocolic intussusceptions. Two patients (11.1%) settled spontaneously. Twelve out of the 18 patients (66.6%) had leading lesions. Benign pathologies were seen in seven cases (38.8%) and malignant in five patients (27.7%). All malignancies were in the large bowl Conclusions: Adult intussusception is a rare entity, nearly one-third of their causes are malignant. Surgery is the best recommended treatment, with or without a primary reduction of the intussusception; the latter can result in more limited bowel resection.

scholarly journals Intraoperative Endoscopy in Transient Adult Jejunojejunal Intussusception

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Takeshi Okamoto ◽  
Hidekazu Suzuki ◽  
Katsuyuki Fukuda
Keyword(s):  
Computed Tomography ◽  
Bowel Resection ◽  
Epigastric Pain ◽  
Adult Intussusception ◽  
Lead Point ◽  
Intraoperative Endoscopy ◽  
Spontaneous Reduction ◽  
History Of ◽  
Exploratory Laparoscopy

Despite improvements in imaging modalities, causative lead points in adult intussusception may be difficult to diagnose. Such lead points can be malignant, causing recurrence or metastases if left unresected. We describe a case of transient adult jejunojejunal intussusception, in which intraoperative endoscopy was used to confirm the absence of a lead point. A 39-year-old woman with a history of laparoscopic oophorectomy presented with epigastric pain, nausea, and vomiting. Contrast computed tomography revealed jejunojejunal intussusception, with no visible lead point. Spontaneous reduction was confirmed during exploratory laparoscopy. After lysis of adhesions, intraoperative peroral jejunoscopy was performed with the surgeons’ assistance. Endoscopy confirmed the absence of tumor, and bowel resection was avoided. No recurrence has been observed during 24 months of follow-up. Intraoperative endoscopy may provide additional reassurance for the absence of a lead point in cases where preoperative enteroscopy cannot be performed and no lead points can be identified on imaging.

scholarly journals Successful laparoscopic approach for idiopathic adult colo-colonic intussusception: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Kyota Tatsuta ◽  
Mayu Sakata ◽  
Kosuke Sugiyama ◽  
Toshiya Akai ◽  
Katsunori Suzuki ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Transverse Colon ◽  
Bowel Wall ◽  
Malignant Tumors ◽  
Abdominal Cavity ◽  
Laparoscopic Approach ◽  
Laparoscopic Procedure ◽  
Adult Intussusception ◽  
Surgical Reduction

Abstract Background Adult intussusception is recognized as an abdominal emergency. More than 90% of adult patients with intussusception have distinct causes that are related to benign or malignant tumors. In contrast, idiopathic intussusceptions, which are observed in children, are rare conditions in adult. Especially, colo-colonic idiopathic intussusceptions are rare among them. Surgery is traditionally considered the primary treatment option. Recently, laparoscopic surgery has been reported to be safe and feasible. However, laparoscopic surgical reduction, which is a common procedure in pediatric surgery, is not common in adult intussusception. Case presentation We report a 34-year-old man who presented with sudden abdominal pain. Computed tomography revealed the target sign in the transverse colon. There was no evidence of bowel obstruction, bowel wall edema, or tumor. We diagnosed idiopathic intussusception and selected laparoscopic procedure because of the strong abdominal pain experienced by the patient. There were no signs of perforation, bowel wall ischemia, or tumor in abdominal cavity. We confirmed idiopathic colo-colonic anterograde intussusception. Laparoscopic surgical reduction was achieved by a combination of delicate direct pressure on the anal side of the transverse colon and gentle pulling on the oral side. The patient’s postoperative course was uneventful. Conclusions We achieved successful surgical reduction laparoscopically because of an accurate preoperative diagnosis based on characteristic computed tomography features and appropriate surgical technique. Laparoscopic procedure and surgical reduction is considered to be an effective treatment strategy for adult idiopathic intussusceptions with severe symptoms.

scholarly journals Intussusception Secondary to a Meckel Diverticulum in an Adolescent

2013 ◽  
Vol 114 (1) ◽  
pp. 48-53 ◽  
Author(s):  
Oktay Yener ◽  
M. Demir ◽  
R. Yiğitbaşı
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Bowel Resection ◽  
Small Bowel Resection ◽  
Adult Intussusception ◽  
Meckel Diverticulum

Adult intussusception caused by an inverted Meckel diverticulum is rare. We report a 39-year-old Turkish man with intussusception due to Meckel diverticulitis. Ileoileal intussusception was suggested by computed tomography. Exploration revealed ileoileal intussusception with Meckel diverticulum. A diverticulectomy with small bowel resection was performed.

scholarly journals Sclerosing encapsulating peritonitis: three case reports and review of the literature

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094910
Author(s):  
Zhenbin Zhang ◽  
Menglai Zhang ◽  
Ling Li
Keyword(s):  
Computed Tomography ◽  
Small Intestine ◽  
Abdominal Pain ◽  
Preoperative Diagnosis ◽  
Case Reports ◽  
Chronic Abdominal Pain ◽  
Review Of The Literature ◽  
Pathological Analysis ◽  
Sclerosing Encapsulating Peritonitis ◽  
Encapsulating Peritonitis

Sclerosing encapsulating peritonitis (SEP) is a disease that is rarely encountered clinically. Preoperative diagnosis of SEP can be difficult. However, with imaging technology, such as computed tomography (CT), this condition can be diagnosed without surgery and pathological analysis. SEP is characterized by small intestine being partially or completely encased by a layer of a thick grayish-white fibrocollagenous membrane similar to a cocoon. The most common symptoms of SEP are abdominal pain, nausea, and vomiting. SEP often leads to intestinal obstruction. Our hospital treated three emergency patients who complained of acute or chronic abdominal pain. CT showed “cauliflower sign” in two cases. The three patients were diagnosed with SEP intraoperatively. In a female patient with ascites, the situation was extremely serious, and this condition had not been reported in detail previously. Fortunately, all patients were discharged without complications. We should pay special attention to patients with SEP who have ascites, which indicates a serious situation.

scholarly journals Clinical characteristics of nasointestinal ileus tube-induced intussusception: three case reports and a literature review

2019 ◽  
Vol 48 (4) ◽  
pp. 030006051987835
Author(s):  
Lin Zhu ◽  
Yi xiong Zheng ◽  
Kai bo Chen
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Literature Review ◽  
Adverse Effects ◽  
Clinical Characteristics ◽  
Case Reports ◽  
Treatment Guideline ◽  
Tube Placement ◽  
Mickey Mouse

Placement of a nasointestinal ileus tube or long tube for gastrointestinal decompression is a new and effective treatment for small bowel obstruction. Such tubes are associated with very few adverse effects. However, several cases of intussusception caused by a nasointestinal ileus tube have been reported. No general diagnosis or treatment guideline has been established for such a complication. We herein present three cases of intussusception caused by nasointestinal ileus tube placement along with a literature review that summarizes some important clinical characteristics of nasointestinal ileus tube-induced intussusception. A diagnosis of intussusception should be considered if severe abdominal pain and distension recur after insertion of a nasointestinal ileus tube. Computed tomography may assist making the diagnosis, especially in patients with typical features such as the “Target sign,” “Glasses sign,” or “Mickey Mouse sign.” Although nasointestinal ileus tube-induced intussusception is rare, clinicians should give more attention to the risk of this complication.

scholarly journals Metastatic melanoma causing recurrent intussusception and perforation of small bowel: case reports and literature review

2021 ◽  
Vol 8 (1) ◽  
pp. MMT54
Author(s):  
Yusuf Yagmur ◽  
Mehmet Ali Açıkgöz
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Malignant Melanoma ◽  
Small Bowel ◽  
Metastatic Melanoma ◽  
Case Reports ◽  
Pain Abdomen ◽  
Free Air ◽  
Recurrent Intussusception ◽  
Short Time

Aim: To present cases of recurred jejuno-jejunal intussusception and jejunal perforation due to melanoma. Materials & methods: Case 1: A 43-year-old male under treatment for malignant melanoma was presented with abdominal pain and distention. Ten centimeter intussuscepted jejunum was resected. Second exploration was done due to failure to pass gas and stool. The reintussusception was detected and resection of reintussuscepted jejunum was performed. Case 2: A 63-year-old male was presented with abdominal pain. Abdomen computed tomography showed free air in the abdomen suggesting intestinal perforations. Perforated area at 80 cm in the jejunum sutured. Conclusion: We present the seemingly first report of reintussusception of resected segment in a very short time. Surgeons should be aware of both intussusception and perforation in metastatic melanoma.

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