scholarly journals Intussusceptions in Adults: A Retrospective Interventional Series of Cases

1970 ◽  
Vol 8 (3) ◽  
pp. 158-165 ◽  
Author(s):  
Rakesh Kr Gupta ◽  
Chandra Shekhar Agrawal ◽  
Rohit Yadav ◽  
Amir Bajracharya ◽  
Panna Lal Sah
Keyword(s):  
Small Bowel ◽  
Diagnostic Accuracy ◽  
Ct Scan ◽  
Clinical Features ◽  
Retrospective Review ◽  
Large Bowel ◽  
Ct Scanning ◽  
Adult Intussusception ◽  
Small Bowel Intussusception ◽  
Intestinal Obstructions

Background: Intussusception is a different entity in adults than it is in children and is usually secondary to a definable pathology. Objective: To review adult intussusception: clinical features, diagnosis and their management. Subjects and methods: A retrospective review of 38 cases of intussusception in individuals older than 18 years of age presenting to BPKIHS Dharan, Nepal from January 2003 to December 2009 was done. Results: In six years, there were thirty-eight patients of surgically proven adult intussusception. The patients. mean age was 49.6 ± 16.2 years, M: F ratio was 1.3:1. Intestinal obstructions of various extents were the commonest presentation in twenty-seven patients (71%). There were 42% enteric, 32% ileocolic and 26% colonic AI. The diagnostic accuracy of the ultrasonography was 78.5%, CT scan was 90% and colonoscopy was 100%. The pathological lesions were found in 94% of AI. Among the pathological lesion, enteric have 62% benign, 38% malignant, ileocolic have 50% benign, 50% malignant, and in colocolic 70% malignant, 30% benign. In enteric AI, 68% were reduced successfully, 25% reduction was not attempted. Of ileocolic AI, 58.3% were reduced successfully, 41.6% had resection without reduction. Of colocolic AI, 30% of them were reduced successfully before resection, 70% had resection without reduction. Conclusion: CT scanning is the most useful diagnostic radiologic method in AI. Colonoscopy is the most accurate in ileocolic and colonic AI. Small-bowel intussusception should be reduced before resection if the underlying etiology is suspected to be benign or if the resection required without reduction is deemed to be massive. Large bowel should generally be resected without reduction because pathology is mostly malignant. Keywords: Adult intussusception (AI); Bowel obstruction; CT scan DOI: 10.3126/hren.v8i3.4208Health Renaissance, September-December 2010; Vol 8 (No.3);158-165

scholarly journals An Unusual Presentation of Small Bowel Intussusception

2021 ◽  
pp. 9-11
Author(s):  
Yinglin Gao ◽  
Cheikh Talal El Imad ◽  
Hai Song Kim ◽  
Vivek Gumaste
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Rare Case ◽  
Recurrent Abdominal Pain ◽  
Nausea And Vomiting ◽  
Adult Intussusception ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Small Bowel Intussusception ◽  
Intestinal Obstructions

Adult small bowel intussusception is a very rare entity that accounts for 5% of all cases of intussusception and 1%–5% of intestinal obstructions. It is more common in children but can occur in adults. It is an important etiology to consider when a patient presents with recurrent abdominal pain. The diagnosis can be challenging as symptoms are nonspecific and include abdominal pain, nausea and vomiting. This paper presents a rare case of duodenal intussusception, followed by a review of the literature discussing the diagnosis and treatment of adult intussusception.

scholarly journals Small bowel intussusception in marijuana users

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Daniel Kakish ◽  
Marwan Alaoudi ◽  
Brian Welch ◽  
David Fan ◽  
Melissa Meghpara ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Acute Abdomen ◽  
Bowel Obstruction ◽  
Adult Intussusception ◽  
Lead Point ◽  
Review Of The Literature ◽  
Pathologic Process ◽  
Small Bowel Intussusception ◽  
Intestinal Obstructions

Abstract Intussusception occurs when one portion of bowel ‘telescopes’ into another due to a lead point created by a range of benign or pathologic process. Intussusception mostly occurs in children. Although adult intussusception (AI) is rare, accounting for <5% of intestinal obstructions, it is more concerning in adults as malignancy accounts for nearly 65% of lead points in AI. Patients present with severe abdominal pain concerning for an acute abdomen along with a degree of bowel obstruction. We have experienced a total of 11 patients within recent years presenting with symptoms of an acute abdomen due to AI. None of these patients were found to have a pathologic process creating a lead point. However, we found that all of them were marijuana users. In this report, we compare their management, hospital course and review of the literature discussing proposed mechanisms that suggest an association between cannabis and intussusception.

Adult intestinal intussusception — A report of 2 cases and literature review

Open Medicine ◽  
2014 ◽  
Vol 9 (1) ◽  
pp. 183-186
Author(s):  
Khalid Habib ◽  
George Jacob
Keyword(s):  
Small Bowel ◽  
Literature Review ◽  
Large Bowel ◽  
English Literature ◽  
Laparoscopic Approach ◽  
Inflammatory Fibroid Polyp ◽  
Successful Management ◽  
Small Bowel Intussusception ◽  
Fibroid Polyp

AbstractEvery five years or so a case of adult small bowel intussusception secondary to pathologies such as inflammatory fibroid polyp (IFP) appears in English literature. Likewise rare cases of adult colonic intussusception due to a tumour have been reported including, more recently, their successful management by laparoscopic approach. We describe two such cases, one each of small bowel and large bowel intussusception, due to IFP and caecal tumour respectively and discuss their management. We also suggest role of combined laparoscopy/endoscopy in selected cases of colonic resections.

Use of ultrasound in diagnosing postoperative small-bowel intussusception in pediatric surgical oncology patients: a single-center retrospective review

2017 ◽  
Vol 48 (2) ◽  
pp. 204-209 ◽  
Author(s):  
Lisa T. VanHouwelingen ◽  
Aaron D. Seims ◽  
Lucia Ortega-Laureano ◽  
Jamie L. Coleman ◽  
Mary B. McCarville ◽  
...  
Keyword(s):  
Small Bowel ◽  
Retrospective Review ◽  
Surgical Oncology ◽  
Single Center ◽  
Oncology Patients ◽  
Small Bowel Intussusception

scholarly journals Apixaban-induced haematoma causing small bowel intussusception

2019 ◽  
Vol 12 (10) ◽  
pp. e230952 ◽  
Author(s):  
Ariel P Santos ◽  
Jennifer M Rodriguez ◽  
Grace Berry
Keyword(s):  
Atrial Fibrillation ◽  
Small Bowel ◽  
Histopathological Examination ◽  
Exploratory Laparotomy ◽  
Adult Intussusception ◽  
Radiographic Findings ◽  
Vein Thrombosis ◽  
Small Bowel Intussusception ◽  
Direct Acting ◽  
Deep Vein

Apixaban (Eliquis) is a direct acting oral anticoagulant (DOAC) indicated for treatment of deep vein thrombosis, non-valvular atrial fibrillation, pulmonary embolism and postoperative venous thromboprophylaxis following hip or knee replacement. Complications are minimal and include, but are not limited to, bleeding and intracranial haemorrhage, and haematoma formation. Our patient is a 73-year-old woman who presented with clinical and radiographic findings of small bowel obstruction. She was found to be taking apixaban for atrial fibrillation. CT scan showed small bowel intussusception. She underwent an exploratory laparotomy and resection of the small bowel intussusception with primary side-to-side anastomosis. Histopathological examination showed that the intussusception was caused by an intramural haematoma. This case presents a rare instance of adult intussusception caused by a DOAC. To our knowledge, no case of intussusception caused by apixaban has yet been found in literature.

W1134 Enteral CT Scan Has a High Diagnostic Accuracy for the Detection of Endocrine Tumors of the Small Bowel

2010 ◽  
Vol 138 (5) ◽  
pp. S-659
Author(s):  
Olivia Hentic ◽  
Magaly Zappa ◽  
Frédéric Bretagnol ◽  
Vinciane Rebours ◽  
Anne Couvelard ◽  
...  
Keyword(s):  
Small Bowel ◽  
Diagnostic Accuracy ◽  
Ct Scan ◽  
Endocrine Tumors ◽  
High Diagnostic Accuracy

scholarly journals Small Bowel Intussusception Due to Rare Cardiac Intimal Sarcoma Metastasis: A Case Report

2021 ◽  
Vol 8 ◽  
Author(s):  
Marco Chiarelli ◽  
Mauro Zago ◽  
Fulvio Tagliabue ◽  
Morena Burati ◽  
Cristina Riva ◽  
...  
Keyword(s):  
Small Bowel ◽  
Ct Scan ◽  
Heart Surgery ◽  
Rare Event ◽  
Mesenchymal Tumors ◽  
Intimal Sarcoma ◽  
Unusual Event ◽  
Abdominal Symptoms ◽  
Small Bowel Intussusception ◽  
Grade Ii

Background: Intimal sarcomas are rare malignant mesenchymal tumors arising from the heart and large blood vessels. Their intraluminal growth leads to vascular obstructive symptoms and peripheral neoplastic embolization. Direct infiltration of the lungs or metastases to the pulmonary system, occur in 40% of cases and extrathoracic spread is frequent, also in presentation. Intussusception is an unusual event in adults, accounting for <5% of bowel obstructions. In most cases it is caused by a malignancy and requires surgical resection.Case Presentation: We describe a rare case of a 50-year-old man suffering of bowel obstruction due to intussusception sustained by a small bowel metastasis of a primary cardiac intimal sarcoma. One year and a half before the onset of abdominal symptoms, a grade II intimal sarcoma was removed from his left atrium and consequently he followed a chemotherapy protocol. Four months later a CT scan revealed local recurrence. Eighteen months after heart surgery he referred to the ER with abdominal pain. CT scan showed an ileal intussusception and the patient was scheduled for surgery. A tract of 10 cm ileus was removed containing an intramural polypoid solid mass. Histological analyses revealed a grade II intimal sarcoma consistent with his first diagnosis.Conclusion: Primary heart tumors are late found and often partially resected, therefore metastatic pathways are to be expected. Adult small bowel intussusception is a rare event and caused by a malignancy in one third of cases. Therefore, our recommendation is to always resect the tract involved in order to perform a proper diagnosis.

scholarly journals Clinical features of transient small bowel intussusception in children

2008 ◽  
Vol 51 (5) ◽  
pp. 500
Author(s):  
Ji Seung Heo ◽  
Eun Min Seo ◽  
Eun Jung Shim ◽  
Do Jun Cho ◽  
Dug Ha Kim ◽  
...  
Keyword(s):  
Small Bowel ◽  
Clinical Features ◽  
Small Bowel Intussusception

scholarly journals Paediatric small-bowel intussusception on ultrasound – a case report with differentiating features from the ileocolic subtype

2021 ◽  
Vol 21 (84) ◽  
pp. e70-e73
Author(s):  
Pushkar Mendiratta ◽  
◽  
Anurav Yadav ◽  
Nitin Borse ◽  
◽  
...  
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Clinical Features ◽  
Patient Management ◽  
Ultrasound Examination ◽  
Emergency Ultrasound ◽  
Case Description ◽  
Imaging Findings ◽  
Paediatric Emergency ◽  
Small Bowel Intussusception

Aim of the study: Intussusception is a common paediatric emergency which can be diagnosed with relative certainty by ultrasonography in trained hands. Both the ileocolic and small-bowel intussusception have overlapping clinical features and imaging findings on ultrasound. The aim is to differentiate between both subtypes based on selective differentiating features which should always be looked for while performing an ultrasound examination in suspected cases. Differentiating between the two subtypes is essential, since patient management may differ depending on the subtype. Case description: We present a case of a 12-year-old boy who presented to our hospital with pain in the abdomen. An emergency ultrasound revealed findings suggestive of small- bowel intussusception. A brief description of the differentiating points from the ileocolic subtype is also described. Conclusions: Based on the features described, it is possible to confidently differentiate between the two subtypes, which is a guiding factor for treatment.

scholarly journals 1568 A Case of Small Bowel Intussusception Occurring Six Years After Laparoscopic RYGB

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
M N A Abusheikha ◽  
A Arman ◽  
W A Al Natsheh ◽  
R M A A Ayoub ◽  
R I Addasi
Keyword(s):  
Small Bowel ◽  
Ct Scan ◽  
Case Reports ◽  
Rare Complication ◽  
Postnatal Period ◽  
Oral Contrast ◽  
Delay In Diagnosis ◽  
First Case ◽  
Small Bowel Intussusception ◽  
Laparoscopic Rygb

Abstract Introduction We present a case of small bowel intussusception occurring in a female who had previously undergone Laparoscopic RYGB. Few case reports of retrograde intussusception occurring in pregnant patients with a history of LRYBG have been published. Up to our knowledge, this is the first case of this rare complication presenting in the postnatal period. Case report Our patient, a female in her thirties, gave birth to a healthy baby via caesarian section six years after her LRYGB. On the day following her operation, she experienced epigastric severe, progressive abdominal pain associated with nausea and vomiting. Abdominal examination showed epigastric and left upper quadrant tenderness, hypoactive bowel sounds and no palpable masses. Small bowel obstruction was suspected. A nasogastric tube was inserted and an abdominal CT scan with oral contrast was ordered. The CT scan showed multiple concentric segments of small bowel loops representing the intussusceptum pulled into the intussuscipiens, giving the classic doughnut sign. The patient was subsequently taken to theatre for a laparotomy. The mass was comprised of the biliopancreatic limb which was dilated as the common limb was retrogradely intussuscepting into it. The bowel was ischemic and remained so after manual reduction. A 45cm ischemic segment was resected and then primary re-anastomosis was done. Her postoperative course was unremarkable. Discussion Intussusception can present years after the original surgery, and imaging is not always reliable. Seeing as bariatric surgery is getting more popular, physicians should be well aware of this serious complication as delay in diagnosis increases morbidity and mortality.

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