Intussusception in adults complicating specific inflammatory diseases of the intestine

Goodall, Peter

doi:10.1136/gut.4.2.132

Cited by 11 publications

(6 citation statements)

References 12 publications

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“…Among children, 90% of all cases is idiopathic, while among adults, it is rarely idiopathic and mostly (90%) secondary to benign or malignant gastrointestinal pathology, or rarely due to an infective gastrointestinal etiology such as typhoid, tuberculous or amebic enteritis. [5][6][7] Intussusception in adults is an uncommon complication of typhoid fever. Pathologically, the mechanism proposed involves the affinity of Salmonella typhi for the lymphoid tissues and the subsequent enlargement of Peyer's patches in the ileum.…”

Section: Discussionmentioning

confidence: 99%

Intestinal Intussusception as a Complication of Typhoid Fever

2020

J Bah Med Soc

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Typhoid fever is a systemic illness that is characterized by abdominal pain and fever. It is caused by gram negative rod Salmonella enterica serotype Typhi and Paratyphi A, B, C. The disease goes through stages and its clinical manifestations varies according to the stage of illness. In this case report we present a case of a young healthy male who presented with abdominal pain which was initially diagnosed with an impression of acute surgical abdomen due to bowel obstruction and later identified to have intestinal intussusception secondary to enteric fever. This type of gastrointestinal complication is considered an uncommon complication of the infective process of Typhoid fever. Reporting this case would help in raising the attention toward such complications which may be confused with other differentials of acute abdomen.

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Section: Discussionmentioning

confidence: 99%

Intestinal Intussusception as a Complication of Typhoid Fever

2020

J Bah Med Soc

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“…A comprehensive Medline and Google Scholar literature search with search parameters ‘salmonella’ and ‘intussusception’ revealed just 3 previously documented cases of adult intussusception secondary to salmonella infection in adults. Goodall [ 9 ], Matsushita et al [ 4 ], and Beltrán et al [ 10 ] described three independent cases of ileo-colic intussusception in adults that required surgical management. In those 3 cases, histological examination revealed a benign pathology with the oedematous mucosa containing inflammatory exudate.…”

Section: Discussionmentioning

confidence: 99%

<italic>Salmonella enteritis</italic>: A Rare Cause of Adult Intussusception

2017

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Intussusception is a relatively rare condition in the adult population and is commonly secondary to a malignant process. Eight to twenty percent of cases of adult intussusception are thought to be idiopathic. In children, infection has been proven to precipitate intussusception in the absence of any other cause. We present a rare case of intussusception in a healthy adult patient secondary to salmonella infection and discuss infection as a potential explanation for a proportion of the cases of adult intussusception that are thought to be idiopathic. We recommend testing for infective causes of intussusception in adults when more common causes, such as malignancy, have been excluded.

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“…INTUSSUSCEPTION in adults has a predisposing mechanical cause in more than 50%/O of the patients (Donhauser and Kelly, 1950;Goodall, 1963) but in infants and children a demonstrable lesion, in particular a malignant tumour, is uncommon (Strang, 1959;Dennison and Shaker, 1970). The separation between these two groups of patients has been accepted as the adult patients being over 14 years of age (Goodall, 1963;Elebute and Adesola, 1964 This report concerns a 12-year-old boy with recurrent colo-colic intussusception due to a primary mucoid carcinoma of the descending colon.…”

Section: Introductionmentioning

confidence: 99%

“…The separation between these two groups of patients has been accepted as the adult patients being over 14 years of age (Goodall, 1963;Elebute and Adesola, 1964 This report concerns a 12-year-old boy with recurrent colo-colic intussusception due to a primary mucoid carcinoma of the descending colon. The case is of interest because of the rarity of malignant tumours of the colon in childhood and adolescence and the unusual mode of its presentation.…”

Section: Introductionmentioning

confidence: 99%

Recurrent intussusception due to a primary colloid carcinoma of the large bowel in a child

Tehrani

1976

Postgraduate Medical Journal

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usually exhibit ring forms in the secondary or hereditary types.From the initial marrow sample the diagnosis of primary sideroblastic anaemia was suggested by the presence of numerous ring-sideroblasts at all stages of erythrocyte maturation. At first the megaloblastic changes were attributed to folate deficiency, in association with primary sideroblastic anaemia. This opinion was revised at an early stage, however, in view of the Schilling test, serum B12, and antibody results, which were characteristic of pernicious anaemia. The persistence of sideroblastic change in the marrow despite folate therapy and a response to vitamin B12 suggested a concurrent primary sideroblastic anaemia.The case illustrates the importance of investigating all cases of macrocytic anaemia by iron staining of the marrow together with estimation of the serum B12 and folate levels. The possibility that megaloblastosis and sideroblastosis may be due to separate conditions, as in this case, should be considered particularly when associated with a sub-optimal response to adequate B12 replacement therepy. AcknowledgmentsWe wish to thank Dr Eric Jackson for advice and permission to publish details of the case, also Professor M. S. Losowsky and Roger Hall for their helpful criticism. Thanks also to Marion Stainthorpe and Mrs Brenda Day for secretarial assistance.

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Intussusception in adults complicating specific inflammatory diseases of the intestine

Abstract: EDITORIAL SYNOPSIS A patient with intussusception occurring in the course of a Salmonella typhimurium infection is described, and a review given of the literature of intussusception as a secondary complication to inflammatory diseases of known origin.

Cited by 11 publications

References 12 publications

Intestinal Intussusception as a Complication of Typhoid Fever

Intestinal Intussusception as a Complication of Typhoid Fever

<italic>Salmonella enteritis</italic>: A Rare Cause of Adult Intussusception

Recurrent intussusception due to a primary colloid carcinoma of the large bowel in a child

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Intussusception in adults complicating specific inflammatory diseases of the intestine

Abstract: EDITORIAL SYNOPSIS A patient with intussusception occurring in the course of a Salmonella typhimurium infection is described, and a review given of the literature of intussusception as a secondary complication to inflammatory diseases of known origin.

Cited by 11 publications

References 12 publications

Intestinal Intussusception as a Complication of Typhoid Fever

Intestinal Intussusception as a Complication of Typhoid Fever

&lt;italic&gt;Salmonella enteritis&lt;/italic&gt;: A Rare Cause of Adult Intussusception

Recurrent intussusception due to a primary colloid carcinoma of the large bowel in a child

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<italic>Salmonella enteritis</italic>: A Rare Cause of Adult Intussusception