Idiopathic ileoileal intussusception in an adult with spontaneous reduction during enteroclysis: a case report

Luckey, P.; Kemper, J.; Engelbrecht, V.; Mödder, Ulrich

doi:10.1007/s002619910009

Cited by 11 publications

(7 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, intussuscepted lipomas may not demonstrate normal fat attenuation and may have a heterogeneous appearance reflecting the degree of infarction and fat necrosis present at the time of radiologic evaluation [11]. Some investigators have recommended enteroclysis for intussusception diagnosis, but only one case has been reported [12]. Magnetic resonance imaging is particularly able to detect fatty lesions because of signal intensity characteristics typical for adipose tissue mainly on T1-weighted and fat-suppressed images.…”

Section: Resultsmentioning

confidence: 99%

Pedunculated lipoma causing colo-colonic intussusception: a rare case report

et al. 2013

View full text Add to dashboard Cite

BackgroundIntussusception is a relatively common cause of intestinal obstruction in children but a rare clinical entity in adults, representing fewer than 1% of intestinal obstructions in this patient population. Colonic lipomas are uncommon nonepithelial neoplasms that are typically sessile, asymptomatic and incidentally found during endoscopy, surgery, or autopsy.Case presentationA 55-year old man visited our emergency department with severe abdominal pain, multiple episodes of vomiting, abdominal distension. Abdominal ultrasound sonography and computed tomography showed a sausage-shaped mass presenting as a target sign, suggestive of intussusception. Surgery revealed a hard elongated mass in the right colon wihch telescoped in the transverse colon and caused colo-colonic intussusception. Rhigt hémicolectomy was performed and pathology documented a mature submucosal lipoma of the colon. We describe the difficulties in diagnosis and management of this rare cause of bowel obstruction and review the literature on adult intussusceptions.ConclusionA large submucosal lipoma is a very rare cause of colon intussusception that presents as intestinal obstruction in patients without malignancy. CT and magnetic resonance imaging remain the methods of choice for studying abdominal lipomas, particularly those rising into the layers of the colonic wall. Surgical resection remains the treatment of choice and produces an excellent prognosis.

show abstract

Section: Resultsmentioning

confidence: 99%

Pedunculated lipoma causing colo-colonic intussusception: a rare case report

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Although the CDI was employed for prediction of the reducibility and viability of the bowel (14-16), the vascular flow did not always exclude a necrotic bowel (17). The flow signal appeared in both benign and surgical SBIs including those with necrotic bowel (7, 8), and CDI does not seem to be effective for the prediction of spontaneous reducibility of the SBI.…”

Section: Discussionmentioning

confidence: 99%

US Features of Transient Small Bowel Intussusception in Pediatric Patients

Kim

2004

Korean J Radiol

View full text Add to dashboard Cite

ObjectiveTo describe the sonographic (US) and clinical features of spontaneously reduced small bowel intussusception, and to discuss the management options for small bowel intussusception based on US findings with clinical correlation.Materials and MethodsDuring a five years of period, 34 small bowel intussusceptions were diagnosed on US in 32 infants and children. The clinical presentations and imaging findings of the patients were reviewed.ResultsThe clinical presentations included abdominal pain or irritability (n = 25), vomiting (n = 5), diarrhea (n = 3), bloody stool (n = 1), and abdominal distension (n = 1), in combination or alone. US showed multi-layered round masses of small (mean, 1.5±0.3 cm) diameters and with thin (mean, 3.5±1 mm) outer rims along the course of the small bowel. The mean length was 1.8±0.5 cm and peristalsis was seen on the video records. There were no visible lead points. The vascular flow signal appeared on color Doppler images in all 21 patients examined. Spontaneous reduction was confirmed by combinations of US (n = 28), small bowel series (n = 6), CT scan (n = 3), and surgical exploration (n = 2). All patients discharged with improved condition.ConclusionTypical US findings of the transient small bowel intussusception included 1) small size without wall swelling, 2) short segment, 3) preserved wall motion, and 4) absence of the lead point. Conservative management with US monitoring rather than an immediate operation is recommended for those patient with typical transient small bowel intussusceptions. Atypical US findings or clinical deterioration of the patient with persistent intussusception warrant surgical exploration.

show abstract

“…By this way, both type of the invagination can be determined and its reduction may be possible. 16 It is recommended that CT is useful in subjects describing abdominal pain attacks, and that it should be the first examination to be made. 8,17 In transverse cuts it shows a "target" or "doughnut" sign while in the oblong cuts it shows the image of a pitchfork.…”

Section: Treatment Modalitymentioning

confidence: 99%

Intussusception: As the Cause of Mechanical Bowel Obstruction in Adults

Çakır

Tekın

Küçükkartallar

et al. 2013

Korean J Gastroenterol

View full text Add to dashboard Cite

Background/Aims: Intussusception in adults is rarely seen and causes misdiagnosis due to its appearance with various clinical findings. The cause of intussusception in adults is frequently organic lesions. In this study, the underlying etiologic factors, diagnostic methods and alternative methods of treatment are discussed in the light of the literature. Methods: In this study, a retrospective evaluation was performed on 47 cases with the diagnoses of intussusception, who were operated on for bowel obstruction between 1990-2011 in Department of Surgery of Necmettin Erbakan University Meram Medical Faculty. Data related to presentation, diagnosis, treatment and pathology were analyzed. Results: Twenty-four of the patients (51%) were female, and 23 were male (49%). Mean age (year) was 49 (range: 23-78) in female group, and 50 (range: 17-72) in male group. All patients presented mechanical bowel obstruction findings and underwent operation. Intussusception was caused by benign and malignant tumors in 38 patients, and other reasons in 3 cases. No reason could be determined in the other 6 cases. Only small intestine resection was applied in 29 cases, and large intestine resection was also applied in 17 cases. Reduction and fixation surgery was performed in one patient. No postoperative mortality was observed. Conclusions: Adult intussusception remains a rare cause of abdominal pain. Diagnosis of intussusception in adults is still difficult. Main treatment was surgical in most cases. (Korean J Gastroenterol 2013;61:17-21)

show abstract

Idiopathic ileoileal intussusception in an adult with spontaneous reduction during enteroclysis: a case report

Cited by 11 publications

References 7 publications

Pedunculated lipoma causing colo-colonic intussusception: a rare case report

Pedunculated lipoma causing colo-colonic intussusception: a rare case report

US Features of Transient Small Bowel Intussusception in Pediatric Patients

Intussusception: As the Cause of Mechanical Bowel Obstruction in Adults

Contact Info

Product

Resources

About