A Rare Cause of Colonic Obstruction: Inflammatory Fibroid Polyp

Dagistanli, Sevinc; Gündüz, Nermin; Sibic, Osman; Sönmez, Süleyman

doi:10.7759/cureus.23868

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Dagistanli et al presented a case of colocolonic intussusception due to a giant lipoma of the transverse colon with good results for the patient. 7 Chiam et al in their clinical case also found that adult-onset colonic intussusception is rare with a reported incidence of 5%, which in turn accounts for only 1-5% of all adult intestinal obstructions. 8 In 90% of cases, an organic pathology is identified as the starting point.…”

Section: Discussionmentioning

confidence: 96%

Colocolonic intussusception in an adult secondary to an inflammatory polyp of the transverse colon - clinical case

et al. 2023

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There are multiple causes of colocolonic intussusception in adults, such as tumors, autoimmune pathologies, previous abdominal surgeries, and gynecological conditions. Associated complications are small bowel obstruction, ischemia, necrosis, perforation with peritonitis, and sepsis that require urgent attention. A 78-year-old woman who started with colic in the mesogastrium of 5 months of evolution and changes in bowel habits. She went to the emergency room due to intense pain in the mesogastrium. On physical examination, she presented dehydration of the mucous membranes and pale integuments, pain on superficial and deep palpation in the mesogastrium. Admission laboratories: leukocytosis 17,110/ul, neutrophilia 67.9%, hydroelectrolyte imbalance: mild hyponatremia, mild hypochloremia, slightly prolonged coagulation times, normal blood chemistry. Abdominal ultrasound with "pseudokidney" image. Computed tomography reports an image of the introduction of a segment of the transverse colon into a contiguous segment of the same, with data of associated intestinal pneumatosis. Due to the previous findings, an emergency exploratory laparotomy was performed. Invagination of the transverse colon is located, accompanied by dilation of the vessels of the greater omentum; it is reduced manually, an enterotomy is performed and a tumor dependent on the wall is located, for which a 25 cm transverse colon resection, end colostomy and mucous fistula are decided. Pathology report reports inflammatory polyp. In the postoperative period, the patient improved and was discharged. Abdominal pain is the common presentation of intussusception; however, given its rarity in adults, the possibility of missing the finding on abdominal imaging leads to misdiagnosis.

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Section: Discussionmentioning

confidence: 96%

Colocolonic intussusception in an adult secondary to an inflammatory polyp of the transverse colon - clinical case

et al. 2023

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“…Tumors are the most common cause of intussusception in adults, and accounts for 63–77% of cases [ 11 ]. Other risk factors include anatomical changes, post-surgical adhesions, fibroids/polyps, inflammatory bowel disease gastrostomy tube and jejunostomy tube [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Jejunojejunal intussusception of a sutured enterotomy site after takedown and primary repair of persistent enterocutaneous fistula: a case report

Marlor

Noor

Beck

et al. 2022

Journal of Surgical Case Reports

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Enterocutaneous fistula (ECF) is a common complication of many abdominal surgeries. Although most ECF resolve spontaneously, there are many factors that can lead to persistence of the fistula. Management of persistent enterocutaneous fistula usually involves surgery with recurrence of fistula being the most common complication. Here we describe a case of 67-year-old female who presented with intussusception following repair of a persistent enterocutaneous. Given the rare finding of intussusception in adults, this case report presents an interesting complication.

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