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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...

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Autores principales: Hayati, Firdaus, Mohd Zuki, Asyraf, Lim, Ming Chin, Chandran, Pradeep Chand, Azizan, Nornazirah, Hameed Sultan, Mohamed Arif, Muhamad Zin, Muhamad Hud, Abdul Karim, Khasnizal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
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.
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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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