AI Article Synopsis

  • * Symptoms tend to be vague and can develop over time, making diagnosis challenging; CT scans are the preferred method for detection.
  • * A case involved a 51-year-old woman with abdominal pain; imaging confirmed intussusception, which was treated laparoscopically without needing bowel removal, and no lead point was found during surgery or follow-up.

Article Abstract

Adult intussusception is a rare condition that is frequently associated with malignancy and requires surgical approach. Symptoms are often non-specific and of subacute or chronic character. Therefore, computerized tomography (CT) scan is the most commonly used modality for identifying adult intussusception. A 51-year-old female presented with a 1-day history of increasing abdominal pain. Abdominal ultrasound and CT scan revealed intussusception. Intra-operatively, colocolic intussusception was present and laparoscopically reduced. A lead point was found neither intra-operatively nor in post-operative ileocolonoscopy and resection of involved bowel segments was not necessary.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7778517PMC
http://dx.doi.org/10.1093/jscr/rjaa547DOI Listing

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  • Adult intussusception (AI) is a rare condition in patients over 18 that presents with various symptoms, often requiring surgical treatment, and is primarily diagnosed using CT scans.
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December 2024

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Introduction And Importance: Intestinal intussusception is rare in adults and often associated with underlying malignancies. In this case, a colo-colic intussusception involving the descending colon caused acute obstruction, ischemic pain, and carried a high risk for peritonitis, necessitating urgent surgical intervention to prevent severe complications.

Case Presentation: We report the case of a 50-year-old male who presented with acute abdominal obtruction and a three-day history of fecal vomiting, left-sided abdominal pain, and recent rectal bleeding.

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Article Synopsis
  • * Imaging techniques, especially ultrasound, are essential for detecting this condition due to their effectiveness in identifying its specific features.
  • * A case study of a 9-month-old boy demonstrated colocolic intussusception with no clear cause, leading to tissue damage that required surgical removal and reconnection of the affected colon segments.
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Intussusception is a rare condition in adults that occurs when a segment of the bowel telescopes into the lumen of the more distal segment. Colocolic intussusception accounts for only 8.3-38% of all intussusception cases in adults, the majority due to malignant causes such as adenocarcinoma, lymphoma, leiomyosarcoma, undifferentiated carcinoma.

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Intussusception in adult patients is a rare medical finding, which is accompanied by an underlying tumor in some cases. However, no accepted method has been established to identify patients at risk for tumor-related intussusception. This study aimed to identify imaging features as predictors for tumor-related intussusception.

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