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

Wang, Tao-Li; Gong, Xun; Wang, Jin; Long, Chenyan

doi:10.12998/wjcc.v10.i7.2261

Cited by 3 publications

(2 citation statements)

References 34 publications

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“…However, 70% to 90% of intussusceptions in adults require surgical treatment. 12 Pure colonic intussusception on rectal lipoma causing intestinal obstruction is an exceptional situation. Aassouani et al present the case of a 60-year-old male who attended the emergency department for acute abdominal pain with marked abdominal distension and red rectal bleeding.…”

Section: Discussionmentioning

confidence: 99%

Colocolonic intussusception in an adult secondary to an inflammatory polyp of the transverse colon - clinical case

et al. 2023

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There are multiple causes of colocolonic intussusception in adults, such as tumors, autoimmune pathologies, previous abdominal surgeries, and gynecological conditions. Associated complications are small bowel obstruction, ischemia, necrosis, perforation with peritonitis, and sepsis that require urgent attention. A 78-year-old woman who started with colic in the mesogastrium of 5 months of evolution and changes in bowel habits. She went to the emergency room due to intense pain in the mesogastrium. On physical examination, she presented dehydration of the mucous membranes and pale integuments, pain on superficial and deep palpation in the mesogastrium. Admission laboratories: leukocytosis 17,110/ul, neutrophilia 67.9%, hydroelectrolyte imbalance: mild hyponatremia, mild hypochloremia, slightly prolonged coagulation times, normal blood chemistry. Abdominal ultrasound with "pseudokidney" image. Computed tomography reports an image of the introduction of a segment of the transverse colon into a contiguous segment of the same, with data of associated intestinal pneumatosis. Due to the previous findings, an emergency exploratory laparotomy was performed. Invagination of the transverse colon is located, accompanied by dilation of the vessels of the greater omentum; it is reduced manually, an enterotomy is performed and a tumor dependent on the wall is located, for which a 25 cm transverse colon resection, end colostomy and mucous fistula are decided. Pathology report reports inflammatory polyp. In the postoperative period, the patient improved and was discharged. Abdominal pain is the common presentation of intussusception; however, given its rarity in adults, the possibility of missing the finding on abdominal imaging leads to misdiagnosis.

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Section: Discussionmentioning

confidence: 99%

Colocolonic intussusception in an adult secondary to an inflammatory polyp of the transverse colon - clinical case

et al. 2023

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“…US is often the first choice for screening because it has no radiation and is simple to operate. CT shows a comprehensive anatomical structure, and 99 TC M -pertechnetate scintigraphy is helpful for the diagnosis of highly suspected intestinal duplication in clinical practice, especially for those with no clear positive performance on CT and ultrasound ( 30 ). Type I (simple cysts) are easier to observe on US than CT due to their liquid contents attached to the mesentery.…”

Section: Discussionmentioning

confidence: 99%

Duplication of the transverse colon in adults: a case report and literature review

Zhang,

Di,

Cheng

et al. 2023

Front. Oncol.

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BackgroundDuplication of the transverse colon is a rare gastrointestinal malformation. Its pathogenesis is still unclear, and it is extremely rare in adults. Patients often present with symptoms of tumor compression such as abdominal mass, abdominal pain, and constipation as the first manifestation.Methods and resultA patient with a duplication of the transverse colon was admitted to the Department of General Surgery of our hospital. Laparoscopic exploration found a mass at the rear of the transverse colon near the splenic flexure, and the root was connected to the middle portion of the transverse colon.ConclusionSurgery is a radical treatment and reduces the possibility of perforation, bleeding, obstruction, and cancer.

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Acute peritonitis caused by the acute pancreatitis of an ectopic pancreas in a jejunal duplication, in an adult with intestinal malrotation: a case report

Yoshikawa,

Migita,

Yamato

et al. 2023

surg case rep

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Background Intestinal duplication and ectopic pancreas are two rare independent congenital anomalies. Few reports describe cases of patients with ectopic pancreas in an intestinal duplication causing acute peritonitis. Case presentation A 31-year-old man was admitted to the hospital for epigastric pain. The patient was diagnosed with acute peritonitis caused by the acute pancreatitis of an ectopic pancreas in a jejunal duplication, with intestinal malrotation. The patient underwent the partial resection of the jejunum and Ladd’s procedure. The histopathological findings indicated ectopic pancreatitis in the jejunal duplication. Conclusions We presented the case of acute peritonitis caused by the acute pancreatitis of an ectopic pancreas in a jejunal duplication in an adult with intestinal malrotation. Surgery is the primary treatment and is necessary for a definitive diagnosis.

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

Cited by 3 publications

References 34 publications

Colocolonic intussusception in an adult secondary to an inflammatory polyp of the transverse colon - clinical case

Colocolonic intussusception in an adult secondary to an inflammatory polyp of the transverse colon - clinical case

Duplication of the transverse colon in adults: a case report and literature review

Acute peritonitis caused by the acute pancreatitis of an ectopic pancreas in a jejunal duplication, in an adult with intestinal malrotation: a case report

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