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Prolapsed sigmoid intussusception per anus in an elderly man: a case report
BACKGROUND: Intussusception in pediatrics is widely documented and well described. On the basis of the literature, however, adult intussusception is a rare entity with a prevalence of from 1% to 5%. The majority of adult patients with intussusception have an underlying pathology that needs to be ide...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3177916/ https://www.ncbi.nlm.nih.gov/pubmed/21849068 http://dx.doi.org/10.1186/1752-1947-5-389 |
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author | Teyha, Penn S Chandika, Alphonce Kotecha, Vihar R |
author_facet | Teyha, Penn S Chandika, Alphonce Kotecha, Vihar R |
author_sort | Teyha, Penn S |
collection | PubMed |
description | BACKGROUND: Intussusception in pediatrics is widely documented and well described. On the basis of the literature, however, adult intussusception is a rare entity with a prevalence of from 1% to 5%. The majority of adult patients with intussusception have an underlying pathology that needs to be identified by performing a proper physical examination and a wide array of investigations. CASE PRESENTATION: We present a case of a 66-year-old African man who presented to our emergency department with a mass protruding per anus with obstipation. During laparotomy, we found that the sigmoid colon had intussuscepted into the rectum and out from the anus. Other abdominal viscera were normal and without any obvious mesenteric lymphadenopathy. Sigmoid colectomy and spectacle colostomy were performed. Grossly, the excised bowel looked normal, but the histologic results showed features of necrosis and chronic inflammation. CONCLUSION: While 70% to 90% of cases of adult intussusception have an identifiable cause or lesion, most pediatric intussusceptions are idiopathic. The presentation in an adult described herein was of an uncommon idiopathic type with no identifiable cause found on the basis of the history, physical examination, or histological findings. |
format | Online Article Text |
id | pubmed-3177916 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-31779162011-09-22 Prolapsed sigmoid intussusception per anus in an elderly man: a case report Teyha, Penn S Chandika, Alphonce Kotecha, Vihar R J Med Case Reports Case Report BACKGROUND: Intussusception in pediatrics is widely documented and well described. On the basis of the literature, however, adult intussusception is a rare entity with a prevalence of from 1% to 5%. The majority of adult patients with intussusception have an underlying pathology that needs to be identified by performing a proper physical examination and a wide array of investigations. CASE PRESENTATION: We present a case of a 66-year-old African man who presented to our emergency department with a mass protruding per anus with obstipation. During laparotomy, we found that the sigmoid colon had intussuscepted into the rectum and out from the anus. Other abdominal viscera were normal and without any obvious mesenteric lymphadenopathy. Sigmoid colectomy and spectacle colostomy were performed. Grossly, the excised bowel looked normal, but the histologic results showed features of necrosis and chronic inflammation. CONCLUSION: While 70% to 90% of cases of adult intussusception have an identifiable cause or lesion, most pediatric intussusceptions are idiopathic. The presentation in an adult described herein was of an uncommon idiopathic type with no identifiable cause found on the basis of the history, physical examination, or histological findings. BioMed Central 2011-08-17 /pmc/articles/PMC3177916/ /pubmed/21849068 http://dx.doi.org/10.1186/1752-1947-5-389 Text en Copyright ©2011 Teyha et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Teyha, Penn S Chandika, Alphonce Kotecha, Vihar R Prolapsed sigmoid intussusception per anus in an elderly man: a case report |
title | Prolapsed sigmoid intussusception per anus in an elderly man: a case report |
title_full | Prolapsed sigmoid intussusception per anus in an elderly man: a case report |
title_fullStr | Prolapsed sigmoid intussusception per anus in an elderly man: a case report |
title_full_unstemmed | Prolapsed sigmoid intussusception per anus in an elderly man: a case report |
title_short | Prolapsed sigmoid intussusception per anus in an elderly man: a case report |
title_sort | prolapsed sigmoid intussusception per anus in an elderly man: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3177916/ https://www.ncbi.nlm.nih.gov/pubmed/21849068 http://dx.doi.org/10.1186/1752-1947-5-389 |
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