Concomitant Heterotopic Pancreas and Endometriosis as a Rare Cause of Ileo-Ileal Intussusception in a Young Woman with Spina Bifida: Case Report and Literature Review

Sciannamea, Andrea; Vaccari, Samuele; Marasco, Giovanni; Via, Barbara Dalla; Lauro, Augusto; Marino, Ignazio R.; Vasuri, Francesco; Cervellera, Maurizio; D’Andrea, Vito; Tonini, Valeria

doi:10.1007/s10620-020-06410-3

Cited by 4 publications

(2 citation statements)

References 29 publications

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“…However, the gastrointestinal barium meal imaging examination shows more overlap of the intestinal cavity, which is easy to miss the diagnosis when the intestinal canal of the lesion is poorly exposed; it is difficult to diagnose a lipoma when combined with intestinal obstruction and intestinal overlap, and it is difficult to distinguish it from other filling defects in the intestinal cavity, which is easy to miss the diagnosis when the lipoma is small. Thus, this examination method has its limitations ( 12 ). Ultrasonography has little diagnostic value for small bowel lesions because of the presence of gas in the lumen of the small intestine, which interferes with ultrasonography ( 13 ).…”

Section: Discussionmentioning

confidence: 99%

Intussusception Related to Small Intestinal Lipomas: A Case Report and Review of the Literature

Wu²,

Sun³

2022

Front. Surg.

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IntroductionAdult intussusception is a rare disease that is difficult to diagnose and treat and is even rarer when it is caused by a lipoma of the small intestine. We reported a case of a small intestine lipoma combined with intussusception, which can guide people in future clinical work.Case PresentationA 51-year-old female was admitted to the hospital with “abdominal pain for 1 month.” Enhanced computed tomography (CT) of the abdomen suggested a lipoma in the left lower quadrant and a proximal intussusception. After excluding surgical contraindications, laparoscopic exploration was performed on the second day of admission, which showed a small amount of ascites in the abdominal cavity, a small intestine–small intestine-type intussusception about 20 cm from the ileocecal area and about 140 cm from the ileocecal area, and a mass of about 2×4 cm that was palpable by laparoscopic intestinal forceps, which was protruded into the intestinal cavity with a soft texture and sound mobility. A 5 cm-long incision was made above the mass to dissect into the abdomen layer by layer, and the diseased intestine was dislodged outside the abdominal cavity with oval forceps. The intestine was reduced by hand and observed for half an hour after reduction, and the blood circulation and peristalsis of the intestine were observed to be still sound. The intestine was dissected at 2 cm from the upper and lower margins of the mass using linear anastomosis to operate small intestine side-to-side anastomosis. The intestine was opened concurrently and closed with a linear anastomosis, using 3-0 absorbable thread to reinforce anastomosis intermittently. The procedure went smoothly, and the patient was discharged on the 5th postoperative day.ConclusionA small intestinal lipoma combined with small intestinal intussusception is rare in clinical practice and needs to be diagnosed by asking history detailedly, physical examination, and relevant ancillary tests such as abdominal CT. Laparoscopic-assisted small incision surgery for adult intussusception combines the advantages of laparoscopic surgery and laparotomy, operating simply and easily.

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Section: Discussionmentioning

confidence: 99%

Intussusception Related to Small Intestinal Lipomas: A Case Report and Review of the Literature

Wu²,

Sun³

2022

Front. Surg.

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“…A.Sciannamea et al 2020 [10] 33 10 Linping Cao 2021 (3 patients retrospective study) [8] Ileo-ileal intussusception. There is no specific laboratory finding few authors believe that imaging is specific in diagnosing heterotopic pancreas and also to differentiate HP from other space occupying lesions.…”

Section: Specimen Was Sent To Histopathology Examinationmentioning

confidence: 99%

Heterotopia of pancreas leading to ileo-ileal intussusception in an adult: A case report

Ahamed¹,

Prasad²,

Kumar³

2022

Int. J. Surg. Sci.

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A heterotopic pancreas as the lead point of ileo-ileal intussusception is extremely rare. A 26year old male patient previously healthy male, presented to the emergency room with the complaint of pain in the lower abdomen since 2 weeks, colicky type, progressive in nature, associated with melena for 5 days and nonbilious vomiting for 3 days. A preoperative diagnosis of ileo-ileal intussusception was made on ultrasound and cect abdomen and an emergency exploratory laparotomy was done. At laparotomy an ileo-ileal intussusception was found and a polyp noted in distal ileum as a lead point. On histopathology this polyp was found to be heterotopic pancreas.

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Intestinal intussusception caused by intestinal duplication and ectopic pancreas: A case report and review of literature

Wang¹,

Gong²,

Wang³

et al. 2022

WJCC

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BACKGROUND Intestinal intussusception caused by intestinal duplication and ectopic pancreas is extremely rare in the clinic and has not been reported previously. CASE SUMMARY A 29-year-old man was admitted to the hospital for chronic abdominal pain and bloating. The preoperative diagnosis was intestinal obstruction and intussusception. Then, laparotomy, partial small intestinal resection and extraintestinal decompression were performed. Postoperative pathology confirmed intestinal duplication and ectopic pancreas. After surgery, the patient recovered well with no complications. No recurrence was observed after more than 5 mo of follow-up. CONCLUSION We report a new case of a young male with intussusception caused by intestinal duplication and ectopic pancreas. Surgery is the main treatment for these conditions. This study aimed to raise awareness and provide information to improve the clinical management of this rare yet serious condition.

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Concomitant Heterotopic Pancreas and Endometriosis as a Rare Cause of Ileo-Ileal Intussusception in a Young Woman with Spina Bifida: Case Report and Literature Review

Cited by 4 publications

References 29 publications

Intussusception Related to Small Intestinal Lipomas: A Case Report and Review of the Literature

Intussusception Related to Small Intestinal Lipomas: A Case Report and Review of the Literature

Heterotopia of pancreas leading to ileo-ileal intussusception in an adult: A case report

Intestinal intussusception caused by intestinal duplication and ectopic pancreas: A case report and review of literature

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