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Ileoileal intussusception in the adult patient secondary to a fibroma: An organ-preserving approach to management
We present a rare case of adult intussusception (AI) due to a small bowel fibroma, which presented as recurrent subacute symptoms. To our knowledge, this is the first reported case managed by intraluminal excision of the causative lesion by enterotomy as opposed to bowel resection. A 34-year-old wom...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8245138/ https://www.ncbi.nlm.nih.gov/pubmed/34221343 http://dx.doi.org/10.1093/jscr/rjab253 |
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author | Hannan, Enda Egan, Aisling Bell, Alison Murray, Muireann Martin, Eoin Byrnes, Gerard |
author_facet | Hannan, Enda Egan, Aisling Bell, Alison Murray, Muireann Martin, Eoin Byrnes, Gerard |
author_sort | Hannan, Enda |
collection | PubMed |
description | We present a rare case of adult intussusception (AI) due to a small bowel fibroma, which presented as recurrent subacute symptoms. To our knowledge, this is the first reported case managed by intraluminal excision of the causative lesion by enterotomy as opposed to bowel resection. A 34-year-old woman presented with recurrent colicky abdominal pain. Computed tomography demonstrated ileoileal intussusception, with magnetic resonance imaging revealing a 2.3-cm intraluminal lesion acting as a lead point. The patient underwent laparotomy and the intussusception was reduced. Palpation of the lesion demonstrated a pedunculated polyp without suspicious features; so the lesion was resected via enterotomy as opposed to small bowel resection. Histopathological analysis diagnosed a benign fibroma. AI is a rare but important entity, with potentially devastating consequences for delayed diagnosis. The majority of lesions causing AI are benign and may be amenable to intraluminal resection via enterotomy, thus avoiding unnecessary bowel resection. |
format | Online Article Text |
id | pubmed-8245138 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-82451382021-07-01 Ileoileal intussusception in the adult patient secondary to a fibroma: An organ-preserving approach to management Hannan, Enda Egan, Aisling Bell, Alison Murray, Muireann Martin, Eoin Byrnes, Gerard J Surg Case Rep Case Report We present a rare case of adult intussusception (AI) due to a small bowel fibroma, which presented as recurrent subacute symptoms. To our knowledge, this is the first reported case managed by intraluminal excision of the causative lesion by enterotomy as opposed to bowel resection. A 34-year-old woman presented with recurrent colicky abdominal pain. Computed tomography demonstrated ileoileal intussusception, with magnetic resonance imaging revealing a 2.3-cm intraluminal lesion acting as a lead point. The patient underwent laparotomy and the intussusception was reduced. Palpation of the lesion demonstrated a pedunculated polyp without suspicious features; so the lesion was resected via enterotomy as opposed to small bowel resection. Histopathological analysis diagnosed a benign fibroma. AI is a rare but important entity, with potentially devastating consequences for delayed diagnosis. The majority of lesions causing AI are benign and may be amenable to intraluminal resection via enterotomy, thus avoiding unnecessary bowel resection. Oxford University Press 2021-06-30 /pmc/articles/PMC8245138/ /pubmed/34221343 http://dx.doi.org/10.1093/jscr/rjab253 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2021. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Hannan, Enda Egan, Aisling Bell, Alison Murray, Muireann Martin, Eoin Byrnes, Gerard Ileoileal intussusception in the adult patient secondary to a fibroma: An organ-preserving approach to management |
title | Ileoileal intussusception in the adult patient secondary to a fibroma: An organ-preserving approach to management |
title_full | Ileoileal intussusception in the adult patient secondary to a fibroma: An organ-preserving approach to management |
title_fullStr | Ileoileal intussusception in the adult patient secondary to a fibroma: An organ-preserving approach to management |
title_full_unstemmed | Ileoileal intussusception in the adult patient secondary to a fibroma: An organ-preserving approach to management |
title_short | Ileoileal intussusception in the adult patient secondary to a fibroma: An organ-preserving approach to management |
title_sort | ileoileal intussusception in the adult patient secondary to a fibroma: an organ-preserving approach to management |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8245138/ https://www.ncbi.nlm.nih.gov/pubmed/34221343 http://dx.doi.org/10.1093/jscr/rjab253 |
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