Cargando…

Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction

BACKGROUND: Adult intussusception is a relatively rare clinical entity. The majority of cases of intussusception in adults are due to a pathologic condition that serves as a lead point and requires surgery. Small bowel intussusception is usually caused by benign or malignant neoplasms appearing at t...

Descripción completa

Detalles Bibliográficos
Autores principales: Tan, Jun Sam, Teah, Kai Ming, Hoe, Vee Chuan, Khairuddin, Allim, Sellapan, Harivinthan, Hayati, Firdaus, Ab Rani, Nor Haizura
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7566945/
https://www.ncbi.nlm.nih.gov/pubmed/33088499
http://dx.doi.org/10.1016/j.amsu.2020.10.009
_version_ 1783596224046170112
author Tan, Jun Sam
Teah, Kai Ming
Hoe, Vee Chuan
Khairuddin, Allim
Sellapan, Harivinthan
Hayati, Firdaus
Ab Rani, Nor Haizura
author_facet Tan, Jun Sam
Teah, Kai Ming
Hoe, Vee Chuan
Khairuddin, Allim
Sellapan, Harivinthan
Hayati, Firdaus
Ab Rani, Nor Haizura
author_sort Tan, Jun Sam
collection PubMed
description BACKGROUND: Adult intussusception is a relatively rare clinical entity. The majority of cases of intussusception in adults are due to a pathologic condition that serves as a lead point and requires surgery. Small bowel intussusception is usually caused by benign or malignant neoplasms appearing at the head of the invagination. Inflammatory fibroid polyp (IFP) of the small bowel is an unusual benign neoplastic lesion that has been rarely reported to cause intussusception, especially in the jejunum. CASE PRESENTATION: We present a rare case of adult intussusception who presented with a triad of intestinal obstruction. Computed tomography revealed small bowel intussusception with bowel ischemia. Intraoperatively, she required resection of the small bowel and primary anastomosis. Macroscopic examination revealed a single pedunculated polyp, which is the lead point of intestinal obstruction and confirmed histologically. CONCLUSION: Inflammatory fibroid polyp should be considered as a cause of intussusception among adults with small bowel obstruction.
format Online
Article
Text
id pubmed-7566945
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-75669452020-10-20 Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction Tan, Jun Sam Teah, Kai Ming Hoe, Vee Chuan Khairuddin, Allim Sellapan, Harivinthan Hayati, Firdaus Ab Rani, Nor Haizura Ann Med Surg (Lond) Case Report BACKGROUND: Adult intussusception is a relatively rare clinical entity. The majority of cases of intussusception in adults are due to a pathologic condition that serves as a lead point and requires surgery. Small bowel intussusception is usually caused by benign or malignant neoplasms appearing at the head of the invagination. Inflammatory fibroid polyp (IFP) of the small bowel is an unusual benign neoplastic lesion that has been rarely reported to cause intussusception, especially in the jejunum. CASE PRESENTATION: We present a rare case of adult intussusception who presented with a triad of intestinal obstruction. Computed tomography revealed small bowel intussusception with bowel ischemia. Intraoperatively, she required resection of the small bowel and primary anastomosis. Macroscopic examination revealed a single pedunculated polyp, which is the lead point of intestinal obstruction and confirmed histologically. CONCLUSION: Inflammatory fibroid polyp should be considered as a cause of intussusception among adults with small bowel obstruction. Elsevier 2020-10-10 /pmc/articles/PMC7566945/ /pubmed/33088499 http://dx.doi.org/10.1016/j.amsu.2020.10.009 Text en © 2020 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Tan, Jun Sam
Teah, Kai Ming
Hoe, Vee Chuan
Khairuddin, Allim
Sellapan, Harivinthan
Hayati, Firdaus
Ab Rani, Nor Haizura
Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction
title Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction
title_full Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction
title_fullStr Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction
title_full_unstemmed Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction
title_short Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction
title_sort jejunojejunal intussusception secondary to inflammatory fibroid polyp: a rare cause of small bowel obstruction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7566945/
https://www.ncbi.nlm.nih.gov/pubmed/33088499
http://dx.doi.org/10.1016/j.amsu.2020.10.009
work_keys_str_mv AT tanjunsam jejunojejunalintussusceptionsecondarytoinflammatoryfibroidpolypararecauseofsmallbowelobstruction
AT teahkaiming jejunojejunalintussusceptionsecondarytoinflammatoryfibroidpolypararecauseofsmallbowelobstruction
AT hoeveechuan jejunojejunalintussusceptionsecondarytoinflammatoryfibroidpolypararecauseofsmallbowelobstruction
AT khairuddinallim jejunojejunalintussusceptionsecondarytoinflammatoryfibroidpolypararecauseofsmallbowelobstruction
AT sellapanharivinthan jejunojejunalintussusceptionsecondarytoinflammatoryfibroidpolypararecauseofsmallbowelobstruction
AT hayatifirdaus jejunojejunalintussusceptionsecondarytoinflammatoryfibroidpolypararecauseofsmallbowelobstruction
AT abraninorhaizura jejunojejunalintussusceptionsecondarytoinflammatoryfibroidpolypararecauseofsmallbowelobstruction