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Postoperative Physiotherapy Approach for a Rare Case of Adult Ileocecal Intussusception

We report a rare case of a 32-year-old male diagnosed with a mass of intussusception in the right lumbar region. Adult intussusception has a prevalence of less than 5%. Among all cases of intestinal obstructions, adult intussusception is found to be only 1-3%. Adult intussusception of the bowel is u...

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Autores principales: Seth, Nikita H, Kulkarni, Chaitanya A, Patil, Shubhangi, Wadhokar, Om C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9613404/
https://www.ncbi.nlm.nih.gov/pubmed/36321036
http://dx.doi.org/10.7759/cureus.29668
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author Seth, Nikita H
Kulkarni, Chaitanya A
Patil, Shubhangi
Wadhokar, Om C
author_facet Seth, Nikita H
Kulkarni, Chaitanya A
Patil, Shubhangi
Wadhokar, Om C
author_sort Seth, Nikita H
collection PubMed
description We report a rare case of a 32-year-old male diagnosed with a mass of intussusception in the right lumbar region. Adult intussusception has a prevalence of less than 5%. Among all cases of intestinal obstructions, adult intussusception is found to be only 1-3%. Adult intussusception of the bowel is uncommon. In contrast to intussusception in children, the traditional trio of palpable sausage, jelly stools, and discomfort is rarely seen. Adults usually present with nonspecific findings that last for a long time. We share the case of a patient who presented with complaints of pain in the abdomen and loss of appetite for six months. In addition, the patient also complained of constipation. The patient had a history of easy fatigue on moderate-intensity activity. Ultrasonography of the abdomen was suggested which revealed bowel wall thickening in the subhepatic region, with likely intussusception and formation of a lump with few enlarged lymph nodes adjacent to it. A confirmatory diagnosis was made after a computed tomography scan. In all cases, surgical intervention is required, and an organic lesion inside the invaginated section of the colon is discovered to be the lead point in up to 90% of cases. The laparoscopic procedure can be used for both diagnostic and therapeutic purposes. A right hemicolectomy was performed through a vertical midline incision. The patient was referred to the physiotherapy department for further management.
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spelling pubmed-96134042022-10-31 Postoperative Physiotherapy Approach for a Rare Case of Adult Ileocecal Intussusception Seth, Nikita H Kulkarni, Chaitanya A Patil, Shubhangi Wadhokar, Om C Cureus Endocrinology/Diabetes/Metabolism We report a rare case of a 32-year-old male diagnosed with a mass of intussusception in the right lumbar region. Adult intussusception has a prevalence of less than 5%. Among all cases of intestinal obstructions, adult intussusception is found to be only 1-3%. Adult intussusception of the bowel is uncommon. In contrast to intussusception in children, the traditional trio of palpable sausage, jelly stools, and discomfort is rarely seen. Adults usually present with nonspecific findings that last for a long time. We share the case of a patient who presented with complaints of pain in the abdomen and loss of appetite for six months. In addition, the patient also complained of constipation. The patient had a history of easy fatigue on moderate-intensity activity. Ultrasonography of the abdomen was suggested which revealed bowel wall thickening in the subhepatic region, with likely intussusception and formation of a lump with few enlarged lymph nodes adjacent to it. A confirmatory diagnosis was made after a computed tomography scan. In all cases, surgical intervention is required, and an organic lesion inside the invaginated section of the colon is discovered to be the lead point in up to 90% of cases. The laparoscopic procedure can be used for both diagnostic and therapeutic purposes. A right hemicolectomy was performed through a vertical midline incision. The patient was referred to the physiotherapy department for further management. Cureus 2022-09-27 /pmc/articles/PMC9613404/ /pubmed/36321036 http://dx.doi.org/10.7759/cureus.29668 Text en Copyright © 2022, Seth et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Endocrinology/Diabetes/Metabolism
Seth, Nikita H
Kulkarni, Chaitanya A
Patil, Shubhangi
Wadhokar, Om C
Postoperative Physiotherapy Approach for a Rare Case of Adult Ileocecal Intussusception
title Postoperative Physiotherapy Approach for a Rare Case of Adult Ileocecal Intussusception
title_full Postoperative Physiotherapy Approach for a Rare Case of Adult Ileocecal Intussusception
title_fullStr Postoperative Physiotherapy Approach for a Rare Case of Adult Ileocecal Intussusception
title_full_unstemmed Postoperative Physiotherapy Approach for a Rare Case of Adult Ileocecal Intussusception
title_short Postoperative Physiotherapy Approach for a Rare Case of Adult Ileocecal Intussusception
title_sort postoperative physiotherapy approach for a rare case of adult ileocecal intussusception
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9613404/
https://www.ncbi.nlm.nih.gov/pubmed/36321036
http://dx.doi.org/10.7759/cureus.29668
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