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A peculiar case of intususception in a pregnant woman: A diagnostic challenge
Adult intussusception presents a diagnostic challenge given its non-specific symptoms. It is not as common as in infants and young children. Traditionally, diagnostic steps are invariably fit for normal adults, but not in pregnancy which faces certain limitations. A 40-year-old pregnant mother, grav...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10300483/ https://www.ncbi.nlm.nih.gov/pubmed/37388266 http://dx.doi.org/10.1016/j.radcr.2023.05.048 |
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author | Hayati, Firdaus Mohd Zuki, Asyraf Lim, Ming Chin Chandran, Pradeep Chand Azizan, Nornazirah Hameed Sultan, Mohamed Arif Muhamad Zin, Muhamad Hud Abdul Karim, Khasnizal |
author_facet | Hayati, Firdaus Mohd Zuki, Asyraf Lim, Ming Chin Chandran, Pradeep Chand Azizan, Nornazirah Hameed Sultan, Mohamed Arif Muhamad Zin, Muhamad Hud Abdul Karim, Khasnizal |
author_sort | Hayati, Firdaus |
collection | PubMed |
description | Adult intussusception presents a diagnostic challenge given its non-specific symptoms. It is not as common as in infants and young children. Traditionally, diagnostic steps are invariably fit for normal adults, but not in pregnancy which faces certain limitations. A 40-year-old pregnant mother, gravida 9 para 8 at 34-week gestation, complained of intermittent epigastric pain for 2 days, requiring hospitalization. She soon developed minimal per rectal bleeding that was ruled out as hemorrhoid. Imaging was limited due to her pregnancy status. She later developed spontaneous delivery to a premature baby. Computed tomography (CT) revealed an ileocolic intussusception, which was confirmed via exploratory laparotomy. Histology was consistent with inflammatory fibroid polyp. Acute abdomen in pregnancy can be due to various causes, thus a high index of suspicion and early CT abdomen might help in early diagnosis and treatment. The benefit of doing CT on the mother and the risk of CT on the fetus is to be weighed as the timely diagnosis can prevent bowel ischemia and reduce maternal morbidity and mortality. Surgery remains the definite management in adult intussusception and an exact diagnosis can be made during the operation. |
format | Online Article Text |
id | pubmed-10300483 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-103004832023-06-29 A peculiar case of intususception in a pregnant woman: A diagnostic challenge Hayati, Firdaus Mohd Zuki, Asyraf Lim, Ming Chin Chandran, Pradeep Chand Azizan, Nornazirah Hameed Sultan, Mohamed Arif Muhamad Zin, Muhamad Hud Abdul Karim, Khasnizal Radiol Case Rep Case Report Adult intussusception presents a diagnostic challenge given its non-specific symptoms. It is not as common as in infants and young children. Traditionally, diagnostic steps are invariably fit for normal adults, but not in pregnancy which faces certain limitations. A 40-year-old pregnant mother, gravida 9 para 8 at 34-week gestation, complained of intermittent epigastric pain for 2 days, requiring hospitalization. She soon developed minimal per rectal bleeding that was ruled out as hemorrhoid. Imaging was limited due to her pregnancy status. She later developed spontaneous delivery to a premature baby. Computed tomography (CT) revealed an ileocolic intussusception, which was confirmed via exploratory laparotomy. Histology was consistent with inflammatory fibroid polyp. Acute abdomen in pregnancy can be due to various causes, thus a high index of suspicion and early CT abdomen might help in early diagnosis and treatment. The benefit of doing CT on the mother and the risk of CT on the fetus is to be weighed as the timely diagnosis can prevent bowel ischemia and reduce maternal morbidity and mortality. Surgery remains the definite management in adult intussusception and an exact diagnosis can be made during the operation. Elsevier 2023-06-09 /pmc/articles/PMC10300483/ /pubmed/37388266 http://dx.doi.org/10.1016/j.radcr.2023.05.048 Text en © 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Hayati, Firdaus Mohd Zuki, Asyraf Lim, Ming Chin Chandran, Pradeep Chand Azizan, Nornazirah Hameed Sultan, Mohamed Arif Muhamad Zin, Muhamad Hud Abdul Karim, Khasnizal A peculiar case of intususception in a pregnant woman: A diagnostic challenge |
title | A peculiar case of intususception in a pregnant woman: A diagnostic challenge |
title_full | A peculiar case of intususception in a pregnant woman: A diagnostic challenge |
title_fullStr | A peculiar case of intususception in a pregnant woman: A diagnostic challenge |
title_full_unstemmed | A peculiar case of intususception in a pregnant woman: A diagnostic challenge |
title_short | A peculiar case of intususception in a pregnant woman: A diagnostic challenge |
title_sort | peculiar case of intususception in a pregnant woman: a diagnostic challenge |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10300483/ https://www.ncbi.nlm.nih.gov/pubmed/37388266 http://dx.doi.org/10.1016/j.radcr.2023.05.048 |
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