Recurrent intestinal intussusception in an adult due to intestinal pseudopolyps not associated with inflammatory bowel disease: a case report
Intestinal intussusception is very rare in adults and, unlike in children, it is due to an organic cause, mainly benign or malignant tumors, in 90 % of cases. Recurrent intussusception in an adult is even more exceptional, and in the case reported it was due to repeated occurrence of intestinal pseu...
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Veröffentlicht in: | Journal of medical case reports 2015-11, Vol.9 (227), p.260-260, Article 260 |
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creator | Martínez-Ubieto, Fernando Jiménez-Bernadó, Teresa Bueno-Delgado, Alvaro Martínez-Ubieto, Javier Pascual-Bellosta, Ana |
description | Intestinal intussusception is very rare in adults and, unlike in children, it is due to an organic cause, mainly benign or malignant tumors, in 90 % of cases. Recurrent intussusception in an adult is even more exceptional, and in the case reported it was due to repeated occurrence of intestinal pseudopolyps, which is exceptional according to the literature. Preoperative diagnosis is difficult, and surgery is always indicated because a tumor is usually present. The surgical procedure may be controversial, as some would prefer desintussusception before resection, while others would advocate initial resection because of the risk of dissemination if a malignant lesion exists.
We report the case of a 34-year-old Caucasian man who underwent emergency laparoscopic surgery for intestinal obstruction and was found to have a jejunal intussusception. Polyps or pseudopolyps, some of them large and causing the intussusception, were seen in the surgical specimen. Our patient had also undergone surgery for intussusception 10 years before, after which the pathological report also noted the presence of these formations.
Recurrent intussusception in adults due to the presence of intestinal pseudopolyps is exceptional and, to the best of our knowledge, this is the first such case reported. |
doi_str_mv | 10.1186/s13256-015-0754-x |
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We report the case of a 34-year-old Caucasian man who underwent emergency laparoscopic surgery for intestinal obstruction and was found to have a jejunal intussusception. Polyps or pseudopolyps, some of them large and causing the intussusception, were seen in the surgical specimen. Our patient had also undergone surgery for intussusception 10 years before, after which the pathological report also noted the presence of these formations.
Recurrent intussusception in adults due to the presence of intestinal pseudopolyps is exceptional and, to the best of our knowledge, this is the first such case reported.</description><identifier>ISSN: 1752-1947</identifier><identifier>EISSN: 1752-1947</identifier><identifier>DOI: 10.1186/s13256-015-0754-x</identifier><identifier>PMID: 26593269</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Care and treatment ; Case Report ; Case studies ; Complications and side effects ; Development and progression ; Disease ; Humans ; Inflammatory bowel disease ; Intestinal Obstruction - diagnostic imaging ; Intestinal Obstruction - etiology ; Intestinal Obstruction - pathology ; Intestinal polyps ; Intestinal Polyps - complications ; Intestinal Polyps - diagnostic imaging ; Intestinal Polyps - pathology ; Intestines ; Intussusception ; Intussusception - diagnostic imaging ; Intussusception - etiology ; Intussusception - pathology ; Jejunal Diseases - complications ; Jejunal Diseases - diagnostic imaging ; Jejunal Diseases - pathology ; Laparoscopy ; Male ; Medical treatment ; Recurrence ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>Journal of medical case reports, 2015-11, Vol.9 (227), p.260-260, Article 260</ispartof><rights>COPYRIGHT 2015 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2015</rights><rights>Martínez-Ubieto et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440x-95550bd54b84a0ccede621edca245bdedd3a63dc65647e2329bb170e33b964e43</citedby><cites>FETCH-LOGICAL-c440x-95550bd54b84a0ccede621edca245bdedd3a63dc65647e2329bb170e33b964e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4656180/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4656180/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26593269$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martínez-Ubieto, Fernando</creatorcontrib><creatorcontrib>Jiménez-Bernadó, Teresa</creatorcontrib><creatorcontrib>Bueno-Delgado, Alvaro</creatorcontrib><creatorcontrib>Martínez-Ubieto, Javier</creatorcontrib><creatorcontrib>Pascual-Bellosta, Ana</creatorcontrib><title>Recurrent intestinal intussusception in an adult due to intestinal pseudopolyps not associated with inflammatory bowel disease: a case report</title><title>Journal of medical case reports</title><addtitle>J Med Case Rep</addtitle><description>Intestinal intussusception is very rare in adults and, unlike in children, it is due to an organic cause, mainly benign or malignant tumors, in 90 % of cases. Recurrent intussusception in an adult is even more exceptional, and in the case reported it was due to repeated occurrence of intestinal pseudopolyps, which is exceptional according to the literature. Preoperative diagnosis is difficult, and surgery is always indicated because a tumor is usually present. The surgical procedure may be controversial, as some would prefer desintussusception before resection, while others would advocate initial resection because of the risk of dissemination if a malignant lesion exists.
We report the case of a 34-year-old Caucasian man who underwent emergency laparoscopic surgery for intestinal obstruction and was found to have a jejunal intussusception. Polyps or pseudopolyps, some of them large and causing the intussusception, were seen in the surgical specimen. Our patient had also undergone surgery for intussusception 10 years before, after which the pathological report also noted the presence of these formations.
Recurrent intussusception in adults due to the presence of intestinal pseudopolyps is exceptional and, to the best of our knowledge, this is the first such case reported.</description><subject>Adult</subject><subject>Care and treatment</subject><subject>Case Report</subject><subject>Case studies</subject><subject>Complications and side effects</subject><subject>Development and progression</subject><subject>Disease</subject><subject>Humans</subject><subject>Inflammatory bowel disease</subject><subject>Intestinal Obstruction - diagnostic imaging</subject><subject>Intestinal Obstruction - etiology</subject><subject>Intestinal Obstruction - pathology</subject><subject>Intestinal polyps</subject><subject>Intestinal Polyps - complications</subject><subject>Intestinal Polyps - diagnostic imaging</subject><subject>Intestinal Polyps - pathology</subject><subject>Intestines</subject><subject>Intussusception</subject><subject>Intussusception - diagnostic imaging</subject><subject>Intussusception - etiology</subject><subject>Intussusception - pathology</subject><subject>Jejunal Diseases - complications</subject><subject>Jejunal Diseases - diagnostic imaging</subject><subject>Jejunal Diseases - pathology</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medical treatment</subject><subject>Recurrence</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>1752-1947</issn><issn>1752-1947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkluL1DAcxYso7rr6AXyRgCC-dM29Ux-EZfEGC4Loc0iT_-xkSZuaizvzIfzOpsy6zoi0kEt_54SenKZ5TvA5ISv5JhFGhWwxES3uBG-3D5pT0gnakp53Dw_mJ82TlG4wFnLVs8fNCZWiZ1T2p82vr2BKjDBl5KYMKbtJ-2VaUirJwJxdmOoa6fra4jOyBVAOh_ScoNgwB7-bE5pCRjqlYJzOYNGty5vKrr0eR51D3KEh3IJH1iXQCd4ijUwdUYQ5xPy0ebTWPsGzu_Gs-f7h_bfLT-3Vl4-fLy-uWsM53ra9EAIPVvBhxTU2BixISsAaTbkYLFjLtGTWSCF5B5TRfhhIh4GxoZccODtr3u195zKMVVd_P2qv5uhGHXcqaKeOv0xuo67DT8WrJVnhavD6ziCGH6UGoUZX0_JeTxBKUqRjkhPCpKzoy3_Qm1BizW2hOooJYx35S11rD6oGFuq5ZjFVF5z3AktBV5U6_w9VHwujM2GCtav7R4JXB4INaJ83Kfiy3Go6BskeNDGkFGF9HwbBaimb2pdN1bKppWxqWzUvDlO8V_xpF_sN9cfSzQ</recordid><startdate>20151123</startdate><enddate>20151123</enddate><creator>Martínez-Ubieto, Fernando</creator><creator>Jiménez-Bernadó, Teresa</creator><creator>Bueno-Delgado, Alvaro</creator><creator>Martínez-Ubieto, Javier</creator><creator>Pascual-Bellosta, Ana</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20151123</creationdate><title>Recurrent intestinal intussusception in an adult due to intestinal pseudopolyps not associated with inflammatory bowel disease: a case report</title><author>Martínez-Ubieto, Fernando ; Jiménez-Bernadó, Teresa ; Bueno-Delgado, Alvaro ; Martínez-Ubieto, Javier ; Pascual-Bellosta, Ana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440x-95550bd54b84a0ccede621edca245bdedd3a63dc65647e2329bb170e33b964e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Care and treatment</topic><topic>Case Report</topic><topic>Case studies</topic><topic>Complications and side effects</topic><topic>Development and progression</topic><topic>Disease</topic><topic>Humans</topic><topic>Inflammatory bowel disease</topic><topic>Intestinal Obstruction - diagnostic imaging</topic><topic>Intestinal Obstruction - etiology</topic><topic>Intestinal Obstruction - pathology</topic><topic>Intestinal polyps</topic><topic>Intestinal Polyps - complications</topic><topic>Intestinal Polyps - diagnostic imaging</topic><topic>Intestinal Polyps - pathology</topic><topic>Intestines</topic><topic>Intussusception</topic><topic>Intussusception - diagnostic imaging</topic><topic>Intussusception - etiology</topic><topic>Intussusception - pathology</topic><topic>Jejunal Diseases - complications</topic><topic>Jejunal Diseases - diagnostic imaging</topic><topic>Jejunal Diseases - pathology</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medical treatment</topic><topic>Recurrence</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martínez-Ubieto, Fernando</creatorcontrib><creatorcontrib>Jiménez-Bernadó, Teresa</creatorcontrib><creatorcontrib>Bueno-Delgado, Alvaro</creatorcontrib><creatorcontrib>Martínez-Ubieto, Javier</creatorcontrib><creatorcontrib>Pascual-Bellosta, Ana</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of medical case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martínez-Ubieto, Fernando</au><au>Jiménez-Bernadó, Teresa</au><au>Bueno-Delgado, Alvaro</au><au>Martínez-Ubieto, Javier</au><au>Pascual-Bellosta, Ana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recurrent intestinal intussusception in an adult due to intestinal pseudopolyps not associated with inflammatory bowel disease: a case report</atitle><jtitle>Journal of medical case reports</jtitle><addtitle>J Med Case Rep</addtitle><date>2015-11-23</date><risdate>2015</risdate><volume>9</volume><issue>227</issue><spage>260</spage><epage>260</epage><pages>260-260</pages><artnum>260</artnum><issn>1752-1947</issn><eissn>1752-1947</eissn><abstract>Intestinal intussusception is very rare in adults and, unlike in children, it is due to an organic cause, mainly benign or malignant tumors, in 90 % of cases. Recurrent intussusception in an adult is even more exceptional, and in the case reported it was due to repeated occurrence of intestinal pseudopolyps, which is exceptional according to the literature. Preoperative diagnosis is difficult, and surgery is always indicated because a tumor is usually present. The surgical procedure may be controversial, as some would prefer desintussusception before resection, while others would advocate initial resection because of the risk of dissemination if a malignant lesion exists.
We report the case of a 34-year-old Caucasian man who underwent emergency laparoscopic surgery for intestinal obstruction and was found to have a jejunal intussusception. Polyps or pseudopolyps, some of them large and causing the intussusception, were seen in the surgical specimen. Our patient had also undergone surgery for intussusception 10 years before, after which the pathological report also noted the presence of these formations.
Recurrent intussusception in adults due to the presence of intestinal pseudopolyps is exceptional and, to the best of our knowledge, this is the first such case reported.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26593269</pmid><doi>10.1186/s13256-015-0754-x</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Care and treatment Case Report Case studies Complications and side effects Development and progression Disease Humans Inflammatory bowel disease Intestinal Obstruction - diagnostic imaging Intestinal Obstruction - etiology Intestinal Obstruction - pathology Intestinal polyps Intestinal Polyps - complications Intestinal Polyps - diagnostic imaging Intestinal Polyps - pathology Intestines Intussusception Intussusception - diagnostic imaging Intussusception - etiology Intussusception - pathology Jejunal Diseases - complications Jejunal Diseases - diagnostic imaging Jejunal Diseases - pathology Laparoscopy Male Medical treatment Recurrence Tomography, X-Ray Computed Treatment Outcome |
title | Recurrent intestinal intussusception in an adult due to intestinal pseudopolyps not associated with inflammatory bowel disease: a case report |
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