Cargando…

Adult intussusception caused by colonic anisakis: A case report

BACKGROUND: Colo-colonic intussusception is an uncommon phenomenon in an adult. Adult intussusception accounts for < 5% of total cases, and the colo-colonic type is < 30% of cases. Although surgical management has been the treatment of choice for intestinal intussusception in adults, because m...

Descripción completa

Detalles Bibliográficos
Autores principales: Choi, Youn I, Park, Dong Kyun, Cho, Hyun Yee, Choi, Seung Joon, Chung, Jun-Won, Kim, Kyung Oh, Kwon, Kwang An, Kim, Yoon Jae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6745326/
https://www.ncbi.nlm.nih.gov/pubmed/31559289
http://dx.doi.org/10.12998/wjcc.v7.i17.2536
_version_ 1783451522485452800
author Choi, Youn I
Park, Dong Kyun
Cho, Hyun Yee
Choi, Seung Joon
Chung, Jun-Won
Kim, Kyung Oh
Kwon, Kwang An
Kim, Yoon Jae
author_facet Choi, Youn I
Park, Dong Kyun
Cho, Hyun Yee
Choi, Seung Joon
Chung, Jun-Won
Kim, Kyung Oh
Kwon, Kwang An
Kim, Yoon Jae
author_sort Choi, Youn I
collection PubMed
description BACKGROUND: Colo-colonic intussusception is an uncommon phenomenon in an adult. Adult intussusception accounts for < 5% of total cases, and the colo-colonic type is < 30% of cases. Although surgical management has been the treatment of choice for intestinal intussusception in adults, because most frequent causes for adult intussusception are malignant in origin, the importance of the roles of preoperative colonoscopic evaluation has recently been emerging. CASE SUMMARY: We report an extremely rare case of adult colo-colonic intussusception caused by colonic anisakiasis and successfully treated by endoscopic removal of the Anisakis body. A 59-year-old man visited the emergency department due to 1 day of lower abdominal colicky pain. Abdominopelvic computed tomography (APCT) revealed the presence of mid-transverse colon intussusception without definite necrosis, which was possibly related with colorectal cancer. Because there was no evidence of necrosis at the intussusception site, a colonoscopy was performed to target the colonic lesion and obtain tissue for a histopathological diagnosis. An Anisakis body was found when inspecting the suspicious colonic lesion recorded by APCT. The Anisakis body was removed with forceps assisted by colonoscopy. The patient’s symptoms improved dramatically after removing the Anisakis. A reduced colon without any pathological findings was seen on the follow-up APCT. Without any further treatment, the patient was discharged 5 d after the endoscopy. CONCLUSION: When colonic intussusception without necrosis occurs in an adult, physician should consider a colonoscopy to exclude causes cured by endoscopy.
format Online
Article
Text
id pubmed-6745326
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Baishideng Publishing Group Inc
record_format MEDLINE/PubMed
spelling pubmed-67453262019-09-26 Adult intussusception caused by colonic anisakis: A case report Choi, Youn I Park, Dong Kyun Cho, Hyun Yee Choi, Seung Joon Chung, Jun-Won Kim, Kyung Oh Kwon, Kwang An Kim, Yoon Jae World J Clin Cases Case Report BACKGROUND: Colo-colonic intussusception is an uncommon phenomenon in an adult. Adult intussusception accounts for < 5% of total cases, and the colo-colonic type is < 30% of cases. Although surgical management has been the treatment of choice for intestinal intussusception in adults, because most frequent causes for adult intussusception are malignant in origin, the importance of the roles of preoperative colonoscopic evaluation has recently been emerging. CASE SUMMARY: We report an extremely rare case of adult colo-colonic intussusception caused by colonic anisakiasis and successfully treated by endoscopic removal of the Anisakis body. A 59-year-old man visited the emergency department due to 1 day of lower abdominal colicky pain. Abdominopelvic computed tomography (APCT) revealed the presence of mid-transverse colon intussusception without definite necrosis, which was possibly related with colorectal cancer. Because there was no evidence of necrosis at the intussusception site, a colonoscopy was performed to target the colonic lesion and obtain tissue for a histopathological diagnosis. An Anisakis body was found when inspecting the suspicious colonic lesion recorded by APCT. The Anisakis body was removed with forceps assisted by colonoscopy. The patient’s symptoms improved dramatically after removing the Anisakis. A reduced colon without any pathological findings was seen on the follow-up APCT. Without any further treatment, the patient was discharged 5 d after the endoscopy. CONCLUSION: When colonic intussusception without necrosis occurs in an adult, physician should consider a colonoscopy to exclude causes cured by endoscopy. Baishideng Publishing Group Inc 2019-09-06 2019-09-06 /pmc/articles/PMC6745326/ /pubmed/31559289 http://dx.doi.org/10.12998/wjcc.v7.i17.2536 Text en ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Choi, Youn I
Park, Dong Kyun
Cho, Hyun Yee
Choi, Seung Joon
Chung, Jun-Won
Kim, Kyung Oh
Kwon, Kwang An
Kim, Yoon Jae
Adult intussusception caused by colonic anisakis: A case report
title Adult intussusception caused by colonic anisakis: A case report
title_full Adult intussusception caused by colonic anisakis: A case report
title_fullStr Adult intussusception caused by colonic anisakis: A case report
title_full_unstemmed Adult intussusception caused by colonic anisakis: A case report
title_short Adult intussusception caused by colonic anisakis: A case report
title_sort adult intussusception caused by colonic anisakis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6745326/
https://www.ncbi.nlm.nih.gov/pubmed/31559289
http://dx.doi.org/10.12998/wjcc.v7.i17.2536
work_keys_str_mv AT choiyouni adultintussusceptioncausedbycolonicanisakisacasereport
AT parkdongkyun adultintussusceptioncausedbycolonicanisakisacasereport
AT chohyunyee adultintussusceptioncausedbycolonicanisakisacasereport
AT choiseungjoon adultintussusceptioncausedbycolonicanisakisacasereport
AT chungjunwon adultintussusceptioncausedbycolonicanisakisacasereport
AT kimkyungoh adultintussusceptioncausedbycolonicanisakisacasereport
AT kwonkwangan adultintussusceptioncausedbycolonicanisakisacasereport
AT kimyoonjae adultintussusceptioncausedbycolonicanisakisacasereport