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Neuroendocrine tumour masquerading as intussusception: A case report

INTRODUCTION: Intussusception usually occurs in the paediatric population. When it occurs in the adult population, it is normally caused by a malignant intraluminal pathology. PRESENTATION OF CASE: A 72-year-old female presented to us with right-sided abdominal pain for 3 weeks, associated with vomi...

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Autores principales: Wong, Lingwei, Kanthasamy, Senthil Vasan, Durairaj, Gunaseelan, Thangaratnam, Ramesh R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7610031/
https://www.ncbi.nlm.nih.gov/pubmed/33137672
http://dx.doi.org/10.1016/j.ijscr.2020.10.091
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author Wong, Lingwei
Kanthasamy, Senthil Vasan
Durairaj, Gunaseelan
Thangaratnam, Ramesh R.
author_facet Wong, Lingwei
Kanthasamy, Senthil Vasan
Durairaj, Gunaseelan
Thangaratnam, Ramesh R.
author_sort Wong, Lingwei
collection PubMed
description INTRODUCTION: Intussusception usually occurs in the paediatric population. When it occurs in the adult population, it is normally caused by a malignant intraluminal pathology. PRESENTATION OF CASE: A 72-year-old female presented to us with right-sided abdominal pain for 3 weeks, associated with vomiting and diarrhoea. She had an appendectomy done 30 years ago and a recent myocardial infarction. Abdominal examination revealed a previous appendectomy scar and tenderness over the right lumbar region. Computed tomography showed ileocaecal intussusception. Right hemicolectomy with a double barrel stoma was performed as she was unstable intraoperatively. Histopathological examination of the tumour showed a well-differentiated neuroendocrine tumour. Subsequent PET scan showed no systemic disease and a reversal of the stoma was done. She remained disease free for a year. DISCUSSION: Our patient had undergone a right hemicolectomy despite the high risk of mortality, as there is a high chance of malignancy. Double barrel stoma was done, as she was unstable intraoperatively. Fortunately, she recovered well and had her stoma reversed without any further recurrence of her disease. CONCLUSION: Adult patients who present with intussusception should be managed with resection, as there is a high possibility of a malignancy. Early resection should be planned to prevent further spread of the tumour.
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spelling pubmed-76100312020-11-06 Neuroendocrine tumour masquerading as intussusception: A case report Wong, Lingwei Kanthasamy, Senthil Vasan Durairaj, Gunaseelan Thangaratnam, Ramesh R. Int J Surg Case Rep Case Report INTRODUCTION: Intussusception usually occurs in the paediatric population. When it occurs in the adult population, it is normally caused by a malignant intraluminal pathology. PRESENTATION OF CASE: A 72-year-old female presented to us with right-sided abdominal pain for 3 weeks, associated with vomiting and diarrhoea. She had an appendectomy done 30 years ago and a recent myocardial infarction. Abdominal examination revealed a previous appendectomy scar and tenderness over the right lumbar region. Computed tomography showed ileocaecal intussusception. Right hemicolectomy with a double barrel stoma was performed as she was unstable intraoperatively. Histopathological examination of the tumour showed a well-differentiated neuroendocrine tumour. Subsequent PET scan showed no systemic disease and a reversal of the stoma was done. She remained disease free for a year. DISCUSSION: Our patient had undergone a right hemicolectomy despite the high risk of mortality, as there is a high chance of malignancy. Double barrel stoma was done, as she was unstable intraoperatively. Fortunately, she recovered well and had her stoma reversed without any further recurrence of her disease. CONCLUSION: Adult patients who present with intussusception should be managed with resection, as there is a high possibility of a malignancy. Early resection should be planned to prevent further spread of the tumour. Elsevier 2020-10-24 /pmc/articles/PMC7610031/ /pubmed/33137672 http://dx.doi.org/10.1016/j.ijscr.2020.10.091 Text en © 2020 The Authors 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
Wong, Lingwei
Kanthasamy, Senthil Vasan
Durairaj, Gunaseelan
Thangaratnam, Ramesh R.
Neuroendocrine tumour masquerading as intussusception: A case report
title Neuroendocrine tumour masquerading as intussusception: A case report
title_full Neuroendocrine tumour masquerading as intussusception: A case report
title_fullStr Neuroendocrine tumour masquerading as intussusception: A case report
title_full_unstemmed Neuroendocrine tumour masquerading as intussusception: A case report
title_short Neuroendocrine tumour masquerading as intussusception: A case report
title_sort neuroendocrine tumour masquerading as intussusception: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7610031/
https://www.ncbi.nlm.nih.gov/pubmed/33137672
http://dx.doi.org/10.1016/j.ijscr.2020.10.091
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