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
Hauptverfasser: Martínez-Ubieto, Fernando, Jiménez-Bernadó, Teresa, Bueno-Delgado, Alvaro, Martínez-Ubieto, Javier, Pascual-Bellosta, Ana
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container_issue 227
container_start_page 260
container_title Journal of medical case reports
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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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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. 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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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