Does Adult Intestinal Invagination Need Surgery? Report of a Case and Review of Literature

Abstract

Benign intestinal tumors are the most frequent cause of small bowel intussusception in adults. This report presents a case of a 67-year-old male with abdominal pain, leukocytosis and C-reactive protein elevation. After ultrasonography and double contrast CT-scan consistent with ileal intussusception patient underwent laparoscopy, which confirmed diagnose. Intestinal resection and anastomosis were performed via minilaparotomy. Further histological study showed a fibroid inflammatory polyp or Vanek’s tumor as intussusception’s lead point.

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C. Leon-Espinoza, M. Gomez-Mateo, F. Lopez-Mozos, R. Marti-Obiol, J. Raga-Vazquez and J. Ortega-Serrano, "Does Adult Intestinal Invagination Need Surgery? Report of a Case and Review of Literature," International Journal of Clinical Medicine, Vol. 2 No. 4, 2011, pp. 456-458. doi: 10.4236/ijcm.2011.24076.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] T. Azar and D. L. Berger, “Adult Intussusception,” Annals of Surgery, Vol. 226, No. 2, 1997, pp. 134-138. doi:10.1097/00000658-199708000-00003
[2] A. Demirkan, A. Ya?murlu, I. Kepenekci, et al., “Intussusception in Adult and Pediatric Patients: Two Different Entities,” Surgery Today, Vol. 39, No. 10, 2009, pp. 861- 865. doi:10.1007/s00595-009-3979-8
[3] J. Vanek, “Gastric Submucosalgranuloma with Eosinophilic Infiltration,” The American Journal of Pathology, Vol. 25, No. 3, 1949, pp. 397-411.
[4] D. Acero, G. Garijo, M. Hombrados, et al., “Gastrointestinal Inflammatory Fibroid Polyps. Clinical Characteristics and Follow-up in a Series of 26 Patients,” Journal of Gastroenterology and Hepatology, Vol. 28, No. 4, 2005, pp. 215-220. doi:10.1157/13073089
[5] T. Miyata, H. Yamamoto, H. Kita, et al., “A Case of Inflammatory Fibroid Polyp Causing Small-Bowel Intussusception in Which Retrograde Double-Balloon Enteroscopy was Useful for the Preoperative Diagnosis,” Endoscopy, Vol. 36, No. 4, 2004, pp. 344-347. doi:10.1055/s-2004-814305
[6] S. Yalamarthi and R. C. Smith, “Adult Intussusception: Case Reports and Review of Literature,” Postgraduate Medical Journal, Vol. 81, No. 953, 2005, pp. 174-177. doi:10.1136/pgmj.2004.022749
[7] R. K. Gupta, C. S. Agrawal, R. Yadav, et al., “Intussusception in Adults: Institutional Review,” International Journal of Surgery, Vol. 9, No. 1, 2011, pp. 91-95. doi:10.1016/j.ijsu.2010.10.003
[8] R. Niramis, S. Watanatittan, A. Kruatrachue, et al., “Management of Recurrent Intussusception: Nonoperative or Operative Reduction?” Journal of Pediatric Surgery, Vol. 45, No. 11, 2010, pp. 2175-2780.
[9] M. Barussaud, N. Regenet, X. Briennon, et al., “Clinical Spectrum and Surgical Approach of Adult Intussusceptions: A Multicentric Study,” International Journal of Colorectal Disease, Vol. 21, No. 8, 2006, pp. 834-839. doi:10.1007/s00384-005-0789-3
[10] H. Liu, Y. J., Cheng H. P. Chen, et al., “Multiple Bowel Intussusceptions from Metastatic Localized Malignant Pleural Mesothelioma: A Case Report,” World Journal of Gastroenterology, Vol. 16, No. 31, 2010, pp. 3984-3946. doi:10.3748/wjg.v16.i31.3984
[11] A. Landalucea, B. Estraviza, I. Barredob, et al., “Invaginación Intestinal en el Adulto: Diagnóstico y Actitud. Cirugía,” Casos Clínicos, 2008, Vol. 3, No. 1, pp. 18-20.
[12] Zia Ur Rehman, A. R. Alvi and S. Khan, “Intussusceptions in Adults: Clinical Features and Operative Procedures,” Journal of the College of Physicians and SurgeonsPakistan, Vol. 20, No. 12, 2010, pp. 790-793.

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