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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2023
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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. |
format | Online Article Text |
id | pubmed-10578975 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
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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