Small bowel intussusception: Does being transient make it less problematic? A case report

Ganesan, Sarada; Robles, Marie Shella De

doi:10.1016/j.ijscr.2022.107810

Cited by 2 publications

(5 citation statements)

References 8 publications

(15 reference statements)

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“…Intussusception is the telescoping or invagination of a proximal part of the intestine (intussusceptum) into a distal or nearby portion (intussuscipiens), resulting in an obstruction of the bowel. 1,6,8,10 Intussusception is clinically rare in adults. 4 Malignant disease of the small bowel is equally rare, affecting 0.7 to 1.6 in 1,000,000 individuals.…”

Section: Discussionmentioning

confidence: 99%

“…The lead points of small bowel intussusception in adults are benign lesions in 60% of cases, malignant lesions in 30%, and idiopathic in 10%. 6,8,10 Tumors that function as lead points of invagination appear to have some common characteristics: they are usually bulky, polypoid, and relatively mobile. In addition, they have a submucosal or intraluminal pattern of growth usually arising from the antimesenteric border (Figure 3), and when malignant, they are not accompanied by a significant desmoplastic reaction.…”

Section: Discussionmentioning

confidence: 99%

“…Abdominal pain is the most common symptom, followed by nausea and vomiting and a palpable abdominal mass. 4,8,10 Wang et al. 15 classified the clinical presentation into three categories based on the symptom duration: acute symptoms (<4 days), subacute symptoms (4–14 days), and chronic symptoms (>14 days).…”

Section: Discussionmentioning

confidence: 99%

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Jejunojejunal intussusception induced by a gastrointestinal stromal tumor: a case report and literature review

Nwagbara,

Ashindoitiang,

Ugbem

et al. 2024

J Int Med Res

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Intussusception is defined as the invagination of a proximal segment of the bowel into the adjoining or distal segment. In most adults with intussusception, there is a demonstrable lead point with a definite pathologic abnormality. The clinical features of intussusception include chronic intermittent abdominal pain, nausea and vomiting, constipation, and a palpable abdominal mass. The present case report describes a 62-year-old woman with a 2-week history of abdominal pain and 9-day history of vomiting. Clinical, imaging, and histologic evaluations revealed a jejunojejunal intussusception with a gastrointestinal stromal tumor as the lead point. A gastrointestinal stromal tumor should be considered as a possible lead point in adult patients with intussusception. The implication of reducing the intussusception prior to tumor resection requires further evaluation in view of the risk of venous embolism, including direct spread of malignant cells, in cases involving a large polypoid mass with a necrotic surface that extends to the serosa as shown by intraoperative examination. Accordingly, the rationale for adjuvant therapy with imatinib also requires further evaluation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Jejunojejunal intussusception induced by a gastrointestinal stromal tumor: a case report and literature review

Nwagbara,

Ashindoitiang,

Ugbem

et al. 2024

J Int Med Res

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“…8,14 Transient symptomatic intussusception (TSI) Numerous authors have reported the spontaneous resolution of intussusception in children 5,9,14,[21][22][23] and adults. 8,10,12,13,[25][26][27][28][29][30] In some patients, resolution of symptoms may occur before any management decisions are made. 9,14,23 In other patients who are stable and exhibit mild symptoms and encouraging imaging findings, a decision to offer expectant management can be made.…”

Section: Imagingmentioning

confidence: 99%

“…Numerous authors have reported the spontaneous resolution of intussusception in children 5,9,14,21–23 and adults 8,10,12,13,25–30 . In some patients, resolution of symptoms may occur before any management decisions are made 9,14,23 .…”

Section: Transient Symptomatic Intussusception (Tsi)mentioning

confidence: 99%

Transient intussusception – What the sonographer needs to know

Nečas

Thomas

Prout

2023

Australas J Ultrason Med

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Intussusception is typically considered an acute emergency; however, the increased utilisation of medical imaging has revealed that intussusceptions can also be transient, asymptomatic and possibly physiologic. Sonographers should be aware of three categories of intussusceptions: (i) persistent intussusceptions resulting in acute abdomen and requiring urgent intervention, (ii) transient symptomatic intussusceptions which may be amenable to a ‘wait‐and‐see’ strategy and (iii) transient asymptomatic intussusceptions which almost always involve the small bowel. In particular, the incidental discovery of enteroenteric intussusceptions in children should not be confused with acute pathology. In adults, sonographers should be mindful of the frequent presence of pathological lead points and further investigations may be warranted. In this literature review, we provide an overview of transient intussusceptions, highlight important differences between children and adults and describe sonographic appearances of various intussusceptions and their mimics.

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Small bowel intussusception: Does being transient make it less problematic? A case report

Cited by 2 publications

References 8 publications

Jejunojejunal intussusception induced by a gastrointestinal stromal tumor: a case report and literature review

Jejunojejunal intussusception induced by a gastrointestinal stromal tumor: a case report and literature review

Transient intussusception – What the sonographer needs to know

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