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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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
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author Alkeraithe, Fawaz
Alghamdi, Ahmad
Algharbi, Abdullah
Aluwishiq, Anas
Alsolami, Zeyad
author_facet Alkeraithe, Fawaz
Alghamdi, Ahmad
Algharbi, Abdullah
Aluwishiq, Anas
Alsolami, Zeyad
author_sort Alkeraithe, Fawaz
collection PubMed
description 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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spelling pubmed-99575212023-02-25 Double Intussusceptions in a 20-Year-Old Lady Harboring a Tubulovillous Adenoma with High-Grade Dysplasia: A Case Report and Literature Review Alkeraithe, Fawaz Alghamdi, Ahmad Algharbi, Abdullah Aluwishiq, Anas Alsolami, Zeyad Cureus General Surgery 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. Cureus 2023-01-27 /pmc/articles/PMC9957521/ /pubmed/36843738 http://dx.doi.org/10.7759/cureus.34265 Text en Copyright © 2023, Alkeraithe 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 General Surgery
Alkeraithe, Fawaz
Alghamdi, Ahmad
Algharbi, Abdullah
Aluwishiq, Anas
Alsolami, Zeyad
Double Intussusceptions in a 20-Year-Old Lady Harboring a Tubulovillous Adenoma with High-Grade Dysplasia: A Case Report and Literature Review
title Double Intussusceptions in a 20-Year-Old Lady Harboring a Tubulovillous Adenoma with High-Grade Dysplasia: A Case Report and Literature Review
title_full Double Intussusceptions in a 20-Year-Old Lady Harboring a Tubulovillous Adenoma with High-Grade Dysplasia: A Case Report and Literature Review
title_fullStr Double Intussusceptions in a 20-Year-Old Lady Harboring a Tubulovillous Adenoma with High-Grade Dysplasia: A Case Report and Literature Review
title_full_unstemmed Double Intussusceptions in a 20-Year-Old Lady Harboring a Tubulovillous Adenoma with High-Grade Dysplasia: A Case Report and Literature Review
title_short Double Intussusceptions in a 20-Year-Old Lady Harboring a Tubulovillous Adenoma with High-Grade Dysplasia: A Case Report and Literature Review
title_sort double intussusceptions in a 20-year-old lady harboring a tubulovillous adenoma with high-grade dysplasia: a case report and literature review
topic General Surgery
url 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
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