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Transient Intussusception Mimicking Acute Coronary Syndrome

Intussusception in adults is rare and usually associated with organic lesions. However, in the current era of computed tomography (CT), cases of idiopathic and transient intussusceptions are being increasingly diagnosed. Herein, we present a case of ileocecal intussusception with symptoms mimicking...

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Autores principales: Imamura, Hiroshi, Kashima, Yuichiro, Hamano, Yujiro, Ogawara, Aoi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10578975/
https://www.ncbi.nlm.nih.gov/pubmed/37849820
http://dx.doi.org/10.1155/2023/7324188
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author Imamura, Hiroshi
Kashima, Yuichiro
Hamano, Yujiro
Ogawara, Aoi
author_facet Imamura, Hiroshi
Kashima, Yuichiro
Hamano, Yujiro
Ogawara, Aoi
author_sort Imamura, Hiroshi
collection PubMed
description Intussusception in adults is rare and usually associated with organic lesions. However, in the current era of computed tomography (CT), cases of idiopathic and transient intussusceptions are being increasingly diagnosed. Herein, we present a case of ileocecal intussusception with symptoms mimicking those of acute coronary syndrome. A male patient in his 80s with a history of myocardial infarction presented to the emergency department with acute onset of severe precordial and epigastric pain, cold sweating, and vomiting. Coronary angiography did not reveal any significant new lesion, while abdominal CT revealed ileocecal intussusception without bowel obstruction. The pain spontaneously subsided without any intervention, and the patient was discharged on the sixth hospital day. Cases of intussusception may go unnoticed in patients suspected of having chest pain with a normal coronary arteriogram, as idiopathic intussusception is relatively common and subsides spontaneously. Therefore, physicians should note that intussusception is one of the differential diagnoses of acute coronary syndrome.
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spelling pubmed-105789752023-10-17 Transient Intussusception Mimicking Acute Coronary Syndrome Imamura, Hiroshi Kashima, Yuichiro Hamano, Yujiro Ogawara, Aoi Case Rep Gastrointest Med Case Report Intussusception in adults is rare and usually associated with organic lesions. However, in the current era of computed tomography (CT), cases of idiopathic and transient intussusceptions are being increasingly diagnosed. Herein, we present a case of ileocecal intussusception with symptoms mimicking those of acute coronary syndrome. A male patient in his 80s with a history of myocardial infarction presented to the emergency department with acute onset of severe precordial and epigastric pain, cold sweating, and vomiting. Coronary angiography did not reveal any significant new lesion, while abdominal CT revealed ileocecal intussusception without bowel obstruction. The pain spontaneously subsided without any intervention, and the patient was discharged on the sixth hospital day. Cases of intussusception may go unnoticed in patients suspected of having chest pain with a normal coronary arteriogram, as idiopathic intussusception is relatively common and subsides spontaneously. Therefore, physicians should note that intussusception is one of the differential diagnoses of acute coronary syndrome. Hindawi 2023-10-09 /pmc/articles/PMC10578975/ /pubmed/37849820 http://dx.doi.org/10.1155/2023/7324188 Text en Copyright © 2023 Hiroshi Imamura et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Imamura, Hiroshi
Kashima, Yuichiro
Hamano, Yujiro
Ogawara, Aoi
Transient Intussusception Mimicking Acute Coronary Syndrome
title Transient Intussusception Mimicking Acute Coronary Syndrome
title_full Transient Intussusception Mimicking Acute Coronary Syndrome
title_fullStr Transient Intussusception Mimicking Acute Coronary Syndrome
title_full_unstemmed Transient Intussusception Mimicking Acute Coronary Syndrome
title_short Transient Intussusception Mimicking Acute Coronary Syndrome
title_sort transient intussusception mimicking acute coronary syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10578975/
https://www.ncbi.nlm.nih.gov/pubmed/37849820
http://dx.doi.org/10.1155/2023/7324188
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