Double Intussusceptions in a 20-Year-Old Lady Harboring a Tubulovillous Adenoma with High-Grade Dysplasia: A Case Report and Literature Review

Underlying malignancy is a concern when intussusception is diagnosed in adults and the elderly. Management includes oncological resection of the intussusception. We report a case of a 20-year-old female patient who presented with signs of bowel obstruction. Computed tomography demonstrated double in...

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Detalles Bibliográficos
Autores principales: Alkeraithe, Fawaz, Alghamdi, Ahmad, Algharbi, Abdullah, Aluwishiq, Anas, Alsolami, Zeyad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
General Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957521/
https://www.ncbi.nlm.nih.gov/pubmed/36843738
http://dx.doi.org/10.7759/cureus.34265
Descripción
Sumario:Underlying malignancy is a concern when intussusception is diagnosed in adults and the elderly. Management includes oncological resection of the intussusception. We report a case of a 20-year-old female patient who presented with signs of bowel obstruction. Computed tomography demonstrated double intussusceptions (ileo-cecal and transverse colo-colonic). During laparotomy, the mid-transverse intussusception reduced spontaneously while the other did not. Both intussusceptions were managed with oncological resection. The final pathology showed a tubulovillous adenoma with high-grade dysplasia. As a result, intussusception in adults should be investigated thoroughly to exclude malignant potential.

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