Transient jejuno-jejunal intussusception in an anabolic steroid user—A case report

Robles, Marie Shella De; O’Neill, Robert; Young, Christopher J.

doi:10.1016/j.ijscr.2020.04.010

Cited by 5 publications

(6 citation statements)

References 23 publications

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“…Two separate CT scans were obtained five minutes apart; the first showed the intussusception, whereas the second did not. Additional cases are reported of transient small bowel intussusception in adults where the abnormality is identified on imaging and surgical findings are normal [9][10][11]. We speculate that the presented patient had idiopathic intussusceptions in two separate locations, with the first being transient in the area of the splenic flexure and the second being surgically present at the ileocolic junction.…”

Section: Discussionmentioning

confidence: 69%

Adult Idiopathic Ileocolonic Intussusception: A Case Report

Sena¹,

Forosisky²

2021

Cureus

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Abdominal pain is a common chief complaint seen in the emergency department (ED), both in adult and pediatric populations. In pediatric emergency medicine, one diagnosis that is often considered is intussusception; in adult emergency medicine, this is typically less common. The classic teaching in adults is that the most common cause of intussusception is malignancy. In the following case report, however, the etiology of intussusception was not from malignancy but rather idiopathic. This case report describes an elderly female presenting to the ED for abdominal pain, nausea, vomiting, and hematochezia. She underwent abdominal imaging with findings concerning for intussusception; this necessitated urgent operative intervention. She was found to have ileocolonic intussusception. Tissue biopsy was sent for analysis to evaluate for malignancy. This was negative. While emergency physicians often keep intussusception high on their list of differential diagnoses when dealing with pediatric patients with abdominal pain, it is rarely considered in the adult population. Abdominal pain is one of the most common chief complaints seen in emergency medicine. Intussusception should definitely be considered as this could be the etiology of abdominal pain and, in rare circumstances, the potential etiology for an acute abdomen.

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Section: Discussionmentioning

confidence: 69%

Adult Idiopathic Ileocolonic Intussusception: A Case Report

Sena¹,

Forosisky²

2021

Cureus

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“…There are no formal guidelines suggesting surgical resection in cases of transient intussusception; however, progress imaging would be recommenced to monitor the resolution of the intussusception [9] . Alternative imaging methods such as MR enterography, capsule endoscopy and small bowel follow-through can be considered [10] .…”

Section: Discussionmentioning

confidence: 99%

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

Ganesan

Robles

2023

International Journal of Surgery Case Reports

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“…This theory was first described by Cavanaugh et al in 2015 and again by De Robles et al in 2020 and Goyal et al in 2020. 3 4 5…”

Section: Discussionmentioning

confidence: 99%

“…He did, however, report a history of anabolic steroid use; this has been postulated as a cause of adult intussusception, and was first described by Cavanagh et al in 2015, and then in two further cases. [3][4][5] Given increasing rates of anabolic steroid use, in young adults presenting with small bowel intussusception without a clear mechanical cause, androgenous anabolic steroids (AAS) use should be considered as a possible etiology…”

Section: Introductionmentioning

confidence: 99%

Multiple Small Bowel Intussusceptions in the Setting of Anabolic Steroid Use

Davies,

Sangiorgio,

Patwardhan

2023

Journal of Gastrointestinal and Abdominal Radiology

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Adult intussusception is a rare phenomenon and often provides a unique diagnostic challenge, typically involving extensive investigation to rule out sinister pathology. We present the case of a healthy 28-year-old male, who presented with symptoms suggestive of small bowel obstruction. Computed tomography displayed evidence of a small bowel intussusception; however, thorough investigation was unremarkable, besides a marked polycythemia. The patient represented several months later with another bowel obstruction, at which time he disclosed the regular use of androgenous anabolic steroids (AAS), which are recognized to induce polycythemia. AAS increase the risk of thromboembolic events and have more recently been implicated as a risk factor for intussusception. This case aims to highlight the increasing prevalence of AAS use, and the importance of its consideration in diagnostic dilemmas, particularly in otherwise healthy adults presenting with intussusception.

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Transient jejuno-jejunal intussusception in an anabolic steroid user—A case report

Cited by 5 publications

References 23 publications

Adult Idiopathic Ileocolonic Intussusception: A Case Report

Adult Idiopathic Ileocolonic Intussusception: A Case Report

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

Multiple Small Bowel Intussusceptions in the Setting of Anabolic Steroid Use

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