Ileo‐Ceco‐Colic Intussusception in a 92‐Year‐Old Man

Arenal, Juan J.; Toledano, Miguel; Pérez‐Alonso, Pablo; Guerro, José A.

doi:10.1111/j.1532-5415.2004.52529_5.x

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2014

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“…Intussusception is a rare cause of intestinal obstruction in adults [5]. This occurrence accounts for about five percent of all intussusceptions and one percent of bowel obstructions [6]. There is limited data on jejunal intussusception, but the studied cases have revealed a tumor or some other intestinal abnormality as the causal agent in the majority of cases [7].…”

Section: Discussionmentioning

confidence: 99%

A Case of Carcinoid Likely Causing Jejunal Intussusception

Matulich

Thurston

Galvan

et al. 2014

Case Reports in Surgery

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A 34-year-old female was admitted to Emergency Department with an abrupt onset of diffuse abdominal pain. A CT scan done prior to her transfer revealed significant dilated loops of bowel as well as multiple target signs with likely torsed bowel. The patient consented to an exploratory laparotomy. During surgery, the proximal jejunum was found to be intussuscepted, a rare finding in an adult. There was evidence of mesenteric foreshortening throughout the small bowel and multiple whitish lesions within the mesentery, both consistent with the desmoplastic response that is characteristic of carcinoid. The interest for this case report comes from the patient's surgical findings of jejunal intussusception as well as her extensive history, which includes a bowel resection with an ileocolic anastomosis for presumed ischemia and a carcinoid tumor in the stomach which had been removed endoscopically.

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Section: Discussionmentioning

confidence: 99%