Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction

Abstract

Background Adult intussusception is a relatively rare clinical entity. The majority of cases of intussusception in adults are due to a pathologic condition that serves as a lead point and requires surgery. Small bowel intussusception is usually caused by benign or malignant neoplasms appearing at the head of the invagination. Inflammatory fibroid polyp (IFP) of the small bowel is an unusual benign neoplastic lesion that has been rarely reported to cause intussusception, especially in the jejunum. Case presentation We present a rare case of adult intussusception who presented with a triad of intestinal obstruction. Computed tomography revealed small bowel intussusception with bowel ischemia. Intraoperatively, she required resection of the small bowel and primary anastomosis. Macroscopic examination revealed a single pedunculated polyp, which is the lead point of intestinal obstruction and confirmed histologically. Conclusion Inflammatory fibroid polyp should be considered as a cause of intussusception among adults with small bowel obstruction.

A Unique Case of Self-Resolving Multiple Intestinal Intussusceptions Concurrent with Inflammatory Gallbladder Polyps in an Adult

“…In yet another one, a similar case of jejuno-jejunal intussusception in a 20-year-old female reported presented with intestinal obstruction and was secondary to an in ammatory broid polyp in small bowel. In both cases, in ammatory broid polyps in the small intestine served as lead points for the intussusceptions (23). Simultaneous occurrence of multiple intussusceptions is a rare condition, with the exact incidence unknown.…”

A rare presentation of retroperitoneal liposarcoma presented with jejunal intussusception: An interesting radiological findings

“…Adult small bowel intussusception is only represented in 1% of the cases [ 1 ]. It is rare to have a tumor in the small bowel to cause adult intussusception [ 2 , 3 ]. The treatment strategy will be challenging especially when dealing with tumors of multiple primaries at the same settings.…”

A peculiar case of intususception in a pregnant woman: A diagnostic challenge

“…It is however considerably rare in adults. It occurs when a segment of the bowel invaginates into a more distal segment, which may cause intestinal obstruction and ultimately bowel ischemia [ 2 , 3 ]. Intussusception requires immediate treatment following adequate initial resuscitation, typically by an enema in children, then with surgery if unsuccessful enema reduction.…”