Intussusception is a rare cause of bowel obstruction in adults, and has generally an organic etiology. However, adenomatous polyp of the small bowel is an uncommon etiology. Moreover, there's a great difference with childhood intussusception in its presentation, etiology and management. We describe herein a case of adult ileocecal intussusception due to an adenomatous ileal polyp with a preoperative diagnosis made on computed tomography. We performed a right hemicolectomy, without attempting to reduce the intussusception, and an end-to-end ileotransverse anastomosis. The pathological examination of the surgical specimen revealed an adenomatous polyp with a high grade dysplasia on the terminal ileum, being the cause of the ileocecal intussusception.
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Article Synopsis
- Intussusception, a bowel obstruction in kids, can sometimes result from serious conditions like Burkitt's lymphoma, as illustrated in a case involving a 14-year-old boy who underwent surgery for ileocolic intussusception.
- The patient initially experienced abdominal pain, and imaging revealed a mass in the intestine leading to surgical intervention, which confirmed the presence of Burkitt's lymphoma.
- It's important for doctors to consider underlying diseases like Burkitt's lymphoma in pediatric intussusception cases that don’t respond to standard treatments, as prompt surgical action greatly enhances survival chances.
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