Adenomyoma of the Small Bowel

Serour, Francis; Gorenstein, Arkadi; Lipnitzky, Valeria; Zaidel, Liliana

doi:10.1097/00005176-199402000-00021

Cited by 27 publications

(27 citation statements)

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“…As the mass is small, none of the cases has been reported to be identified by imaging methods before surgery. However, the cases may be identified by direct radiographies if adenomyomas cause ileus, and intussusception is identified by the target sign on performing ultrasound (3,(5)(6)(7). Although the mass was not located in the intussuscepted segment in the case presented herein, it was identified by the intussusception that it caused.…”

Section: Discussionmentioning

confidence: 79%

“…The lesion is predominantly located in the submucosa (4,6). Adenomyoma is differentiated from entities with similar macroscopic characteristics including enteritis cystica profunda, pneumatosis cystoides intestinalis, metastatic adenocarcinoma, and hamartomatous polyps of the Peutz-Jeghers syndrome based on histopathological criteria (1-4).…”

Section: Discussionmentioning

confidence: 99%

“…It is mostly located in the stomach, duodenum, or biliary tract and very rarely located in the small intestine (1,3,5,6). Adenomyoma of the small intestine, frequently presenting with intussusception, is extremely rare in children; only 14 cases have been reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Ileal Adenomyoma: Extremely Rare Cause of Intussusception

Temız¹,

Kahya²

2015

EAJEM

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Adenomyoma of the gastrointestinal tract is a benign tumor that is usually found in the stomach and is occasionally found in the duodenum and biliary tract; however, it is very rarely found in the small intestine. Adenomyomas of the small intestine that usually present with intussusception are very rare in children. In this study, a case of ileal adenomyoma presenting with intussusception was described. (Eurasian J Emerg Med 2015; 14: 207-8)

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

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Ileal Adenomyoma: Extremely Rare Cause of Intussusception

Temız¹,

Kahya²

2015

EAJEM

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“…4,8,9 By contrast, adenomyoma arising from the small intestine is extremely rare in children with only 17 cases reported in the literature. 6,7,[11][12][13][14][15][16][17][18][19][20][21][22][23][24] Some authors attribute this fact to underreporting or lack of recognition. 6,14,19 Other researchers stated the lesion is really rarely located in the ileum.…”

Section: Discussionmentioning

confidence: 99%

“…Upon reviewing the literature, only 17 paediatric cases were found (Table 2). 6,7,[11][12][13][14][15][16][17][18][19][20][21][22][23][24] Unlike children with intussusception due to intestinal lymphoma, who was always higher than 2 years old, 26 the age of children with intestinal adenomyoma ranged from 2 days to 84 months with a median age of 9 months in the literature, 6,7,[11][12][13][14][15][16][17][18][19][20][21][22][23][24] and 76% of the patients were younger than 2 years old, which was similar to children with intussusception due to Meckel diverticulum and duplication cyst. 27 This proportion is higher than our study (54%).…”

Section: Discussionmentioning

confidence: 99%

Adenomyoma of the small intestine in children: a 12‐year experience in a tertiary referral center

Li,

Wang,

Liu

et al. 2023

ANZ Journal of Surgery

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BackgroundAdenomyoma of the small intestine is rare in children and the clinical characteristics is not clear. The study was to document the clinical characteristics and treatment of children with adenomyoma of the small intestine.MethodsA retrospective study was conducted in children with intestinal adenomyoma from 2010 to 2022. We recorded age, gender, symptoms, location, tumour size and treatment options.ResultsThirteen patients with adenomyoma of the small bowel were included. The median age was 20 months with a male‐to‐female ratio of 10:3 and more than half of the patients were younger than 2 years old. The mean tumour size was 2.0 cm. The lesion was found accidentally in one patient, and the others presented with symptoms of intussusception. A pathological lead point was found on ultrasound in seven patients. All tumours were located in the ileum, ranging from 24 to 260 cm proximal to the ileocecal valve. The tumour was found in an antimesenteric site in eight patients. Three patients suffered intestinal necrosis, and segmental resection of the ileum was performed. Three patients without intestinal necrosis underwent tumour rection, while intestinal resection and anastomosis were performed in the remaining seven. All patients recovered well except one, who developed intussusception 7 days after surgery; that patient underwent surgery and recovered uneventfully.ConclusionsAdenomyoma of the small intestine has a male predominance in children and intussusception is a common presentation. The ultrasound feature is a mass of mixed echogenicity containing several small cystic areas. Surgery is the primary treatment option and the procedure should be chosen based on intraoperative findings.

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