Cargando…

Intussusception in an elderly female and its management: A case report and literature review

Intussusception is the telescoping or invagination of the proximal part of the gastrointestinal tract into an adjacent section. It is rare in adults, accounting for 1% of adult bowel obstruction. Adult presentation of intussusception is variable, with nonspecific, vague symptoms like abdominal pain,...

Descripción completa

Detalles Bibliográficos
Autores principales: Palle, Lokeshwar Raaju Addi, Inban, Pugazhendi, Akuma, Ogbonnaya, Akuma, Chinaza Mercy, Srirama, Hema Anisha, Thakkar, Keval, Hanafi, Ihab Sheikh, Dahal, Rojaj, Yousuf, Mohammed Adnaan, Khan, Aadil Mahmood, Kelechi, Anasonye Emmanuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10415582/
https://www.ncbi.nlm.nih.gov/pubmed/37575458
http://dx.doi.org/10.1002/ccr3.7745
_version_ 1785087574098837504
author Palle, Lokeshwar Raaju Addi
Inban, Pugazhendi
Akuma, Ogbonnaya
Akuma, Chinaza Mercy
Srirama, Hema Anisha
Thakkar, Keval
Hanafi, Ihab Sheikh
Dahal, Rojaj
Yousuf, Mohammed Adnaan
Khan, Aadil Mahmood
Kelechi, Anasonye Emmanuel
author_facet Palle, Lokeshwar Raaju Addi
Inban, Pugazhendi
Akuma, Ogbonnaya
Akuma, Chinaza Mercy
Srirama, Hema Anisha
Thakkar, Keval
Hanafi, Ihab Sheikh
Dahal, Rojaj
Yousuf, Mohammed Adnaan
Khan, Aadil Mahmood
Kelechi, Anasonye Emmanuel
author_sort Palle, Lokeshwar Raaju Addi
collection PubMed
description Intussusception is the telescoping or invagination of the proximal part of the gastrointestinal tract into an adjacent section. It is rare in adults, accounting for 1% of adult bowel obstruction. Adult presentation of intussusception is variable, with nonspecific, vague symptoms like abdominal pain, nausea, vomiting, and rectal bleeding. Abdominal computed tomography (CT) scans have the highest sensitivity in the diagnosis of intussusception. The classical findings of intussusception are the target sign and mesenteric vessels lined within the bowel lumen. An abdominal CT scan can reveal a cloverleaf figuration, fluid‐filled ileal loops, superior mesenteric venous (SMV) occlusion, and concerns about ongoing sealed perforation or fistulization. Our patient is an 86‐year‐old female who was diagnosed with a jejunal–jejunal long‐segment intussusception, gastro‐enteric fistula, and SMV occlusion with distal reconstitution. The patient responded well to conservative treatment and was discharged for follow‐up.
format Online
Article
Text
id pubmed-10415582
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-104155822023-08-12 Intussusception in an elderly female and its management: A case report and literature review Palle, Lokeshwar Raaju Addi Inban, Pugazhendi Akuma, Ogbonnaya Akuma, Chinaza Mercy Srirama, Hema Anisha Thakkar, Keval Hanafi, Ihab Sheikh Dahal, Rojaj Yousuf, Mohammed Adnaan Khan, Aadil Mahmood Kelechi, Anasonye Emmanuel Clin Case Rep Case Report Intussusception is the telescoping or invagination of the proximal part of the gastrointestinal tract into an adjacent section. It is rare in adults, accounting for 1% of adult bowel obstruction. Adult presentation of intussusception is variable, with nonspecific, vague symptoms like abdominal pain, nausea, vomiting, and rectal bleeding. Abdominal computed tomography (CT) scans have the highest sensitivity in the diagnosis of intussusception. The classical findings of intussusception are the target sign and mesenteric vessels lined within the bowel lumen. An abdominal CT scan can reveal a cloverleaf figuration, fluid‐filled ileal loops, superior mesenteric venous (SMV) occlusion, and concerns about ongoing sealed perforation or fistulization. Our patient is an 86‐year‐old female who was diagnosed with a jejunal–jejunal long‐segment intussusception, gastro‐enteric fistula, and SMV occlusion with distal reconstitution. The patient responded well to conservative treatment and was discharged for follow‐up. John Wiley and Sons Inc. 2023-08-10 /pmc/articles/PMC10415582/ /pubmed/37575458 http://dx.doi.org/10.1002/ccr3.7745 Text en © 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Palle, Lokeshwar Raaju Addi
Inban, Pugazhendi
Akuma, Ogbonnaya
Akuma, Chinaza Mercy
Srirama, Hema Anisha
Thakkar, Keval
Hanafi, Ihab Sheikh
Dahal, Rojaj
Yousuf, Mohammed Adnaan
Khan, Aadil Mahmood
Kelechi, Anasonye Emmanuel
Intussusception in an elderly female and its management: A case report and literature review
title Intussusception in an elderly female and its management: A case report and literature review
title_full Intussusception in an elderly female and its management: A case report and literature review
title_fullStr Intussusception in an elderly female and its management: A case report and literature review
title_full_unstemmed Intussusception in an elderly female and its management: A case report and literature review
title_short Intussusception in an elderly female and its management: A case report and literature review
title_sort intussusception in an elderly female and its management: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10415582/
https://www.ncbi.nlm.nih.gov/pubmed/37575458
http://dx.doi.org/10.1002/ccr3.7745
work_keys_str_mv AT pallelokeshwarraajuaddi intussusceptioninanelderlyfemaleanditsmanagementacasereportandliteraturereview
AT inbanpugazhendi intussusceptioninanelderlyfemaleanditsmanagementacasereportandliteraturereview
AT akumaogbonnaya intussusceptioninanelderlyfemaleanditsmanagementacasereportandliteraturereview
AT akumachinazamercy intussusceptioninanelderlyfemaleanditsmanagementacasereportandliteraturereview
AT sriramahemaanisha intussusceptioninanelderlyfemaleanditsmanagementacasereportandliteraturereview
AT thakkarkeval intussusceptioninanelderlyfemaleanditsmanagementacasereportandliteraturereview
AT hanafiihabsheikh intussusceptioninanelderlyfemaleanditsmanagementacasereportandliteraturereview
AT dahalrojaj intussusceptioninanelderlyfemaleanditsmanagementacasereportandliteraturereview
AT yousufmohammedadnaan intussusceptioninanelderlyfemaleanditsmanagementacasereportandliteraturereview
AT khanaadilmahmood intussusceptioninanelderlyfemaleanditsmanagementacasereportandliteraturereview
AT kelechianasonyeemmanuel intussusceptioninanelderlyfemaleanditsmanagementacasereportandliteraturereview