Home

Jejunal intussusception in adults

Though intussusception is rare in adults, most cases of adult intussusception are the result of an underlying medical condition, such as a tumor. In children, the intestines can usually be pushed back into position with a minor procedure. In adults, surgery is often required to correct the problem Intussusception in adulthood is an uncommon medical condition. Multiple lipomas are a very rare cause of intussusception, and the jejunum is the least common location of lipoma. We report an unusual case of a 37-year-old man presented with non-specific symptoms. Computed tomography of the abdomen revealed a proximal jejunal loop distention

Intussusception - Symptoms and causes - Mayo Clini

  1. al pain and cross-sectional imaging that identified jejunal intussusception, which was confirmed in operating room and resected
  2. Transient, idiopathic jejunojejunal intussusception in adult patients can be identified on MDCT in the absence of gastrointestinal pathology. In patients without an identifiable lead point mass lesion, imaging characteristics that favor the transient variety include short length (≤ 3.5 cm) and absence of bowel dilation
  3. al CT is the most sensitive tool for diagnosis of adult intussusception, which demonstrates concentric rings in the axial view referred to as the target sign. Surgical intervention is ideal
  4. Background: Intussusception is common in children but rare in adults. The goal of this study was to review retrospectively the symptoms, diagnosis, and treatment of intussusception in adults. Methods: From 1997 to 2013, we experienced 44 patients of intussusception in patients older than 18 years. The patients were divided into enteric, ileocolic, ileocecal, and colocolonic (rectal) types

Intussusception is a rare form of bowel obstruction in adults, which is defined as the telescoping of a proximal segment of the gastrointestinal tract, into the lumen of the adjacent distal segment. The overall incidence of intussusception in adults is around 2-3 cases per 1,000,000 of the general population annually In adults, intussusception is usually accompanied with intermittent abdominal pain, nausea, vomiting, constipation, melena, weight loss, and fever. Abdominal pain is considered to be the most common symptom, presenting in 70-100% of cases [ 15 ] In adults, a diagnosis of intussusception is often difficult and not often made before laparotomy. 1 A demonstrable etiology is found in 70% to 90% of cases in adult intussusceptions, and about 40% of them are caused by a primary or secondary malignant neoplasm. 2-8 Computed tomography (CT) scan is now widely used in the evaluation of abdominal masses and nonspecific abdominal pain and may be the first examination performed in a patient in whom an intussusception is present Intussusception is a rare pathology in adults and 90% is secondary to a GI pathology. This GI pathology is typically adhesions or underlying carcinoma, which provide a lead point for the telescoping of bowel segments [ 1, 7 ]. Lymphangioma is an uncommon tumor of the lymphatic system and is rarely found within the small bowel Intussusception is a potentially life-threatening condition involving intermittent crampy abdominal pain, occurrence of mucoid hematochezia, and threatened ischemia of the small intestine. Intussusceptions originate from telescoping of a segment of the gastrointestinal tracts into an adjacent section of the bowel [

Although intussusception is the leading cause of intestinal obstruction in children, it is relatively rare after childhood, accounting for less than 5% of bowel obstruction in adults. 1 Adult intussusception occurs most often in the small bowel and is classified on the basis of location. It can be categorized as enteroenteric (small bowel only. It has often been stated that intestinal intussusception in adults is frequently caused by serious underlying disease, with 70%-90% of cases having a demonstrable cause based on discharge diagnosis or surgical results (, 1 2) Intussusception is a more common diagnosis in children, with only 5% of cases reported in adults. 80-90% of adult intussusception is due to a well-defined lesion resulting in a lead point.

Jejunal intussusception in an adult due to multiple

Intussusception in adults is rare. It is estimated to account for only 5% of all intussusceptions and causes only 1% of all bowel obstructions and 0.003-0.02% of all hospital admissions [ 1 ]. About 90% of intussusceptions in adults are caused by a definite underlying disorder such as a neoplasm or by a postoperative condition [ 2 ] Intussusception in adults is rare and differs from pediatric population. Most of the small bowel intussusceptions have a structural etiology and a small proportion of them harbor malignancy. Small bowel carcinoids are group of slow growing well-differentiated tumors. Diagnosis can be made preoperatively with CT and USG being the common modalities Case Discussion. An intussusception occurs when one bowel loop (intussusceptum) invaginates into another section of bowel (intussuscipiens), akin to a telescopic movement. It is mainly a childhood disease, however contributes to 1% of all adult intestinal obstructions. When it occurs in adults it is usually associated with a lead point like a neoplasm or polyp with the commonest benign. Intussusception is defined as a telescoping of the proximal part into the distal part of the bowel. It is a rare cause of bowel obstruction in adults, accountable for 1% of cases, and an incidence of 2-3 cases per million people per year [].Unlike in children, intussusception in adults usually occurs with a presence of a leading point that can arise from intraluminal origin, the bowel wall. Karatepe O, Tükenmez M, Hünerli K, Citlak G, Salmaslioglu A, Battal M, Erbil Y. Ascaris as a leading point for small-bowel intussusception in an adult: a rare cause of intussusception. Am J Emerg Med. 2008;26(3):381. Andriessen MJ, Govaert MJ, de Waard JW. Jejunojejunal intussusception by a known jejunal adenocarcinoma

Intestinal intussusception represents a very rare cause of intestinal obstruction in adults (<5% of all intestinal obstructions) [ 1 ]. In contrast to childhood intussusception (idiopathic in 90% of cases), about 90% of adult intussusception is due to a pathologic lesion, or lead point, in the bowel wall [ 1-3 ] Adult intussusception and small bowel adenocarcinoma are rarely encountered together. Intussusception should be considered in the differential diagnosis of adult patients presenting with abdominal pain, especially those with unremitting symptoms. Concomitant anaemia should lower the threshold for suspicion of underlying malignancy. Jejunal adenocarcinoma represents a rare, but possible aetiology

Transient adult jejunal intussusception - ScienceDirec

Intussusception is uncommon in adults compared with the paediatric population. It is estimated that only 5% of all intussusceptions occur in adults and approximately 5% of all bowel obstruction in adults are s a result of intussusception . The underlying causes in adults vary greatly, a mechanical cause is seen in 90% of all adult intussusceptions Intussusception is a more common diagnosis in children, with only 5% of cases reported in adults. 80-90% of adult intussusception is due to a well-defined lesion resulting in a lead point, whereas in children, most cases are idiopathic. Adult intussusception is also more commonly associated with malignancy, compared to children Telescoping jejunum: a case of adult intussusception. Ikram S(1), Tani S(1), Kaur G(1), Hemadri M(1). Author information: (1)Department of Surgery, Northern Lincolnshire and Goole Hospitals NHS Foundation Trust, Scunthorpe, UK. Intussusception is the invagination of a proximal part of intestine into the adjacent distal part Intussusception is a common surgical diagnosis in the paediatric population and is most commonly idiopathic. In adults a substantial proportion of patients have a malignant leading cause and surgical intervention is mandatory. Intussusception involving the small bowel is thought to be more likely benign in nature and is frequently reduced before the leading cause is excised

Idiopathic adult intestinal intussusception: a rare cause

Intussusception in an adult is a rare entity; that challenges the surgeon opening a broad range of issues in order to define the etiology and therapeutic strategy. The segment intestinal involved may be the only small intestine (jejunum and ileum intussusception-fasting-ileal), the colon (colo-colic, sigmoido-rectal), or the ileocecal region. Adult intussusception is a rare cause of abdominal pain with the majority of presentations being localised to the small bowel. • Transient jejunal intussusception is usually diagnosed on CT with diagnostic laparoscopy performed to confirm resolution and exclude malignant causes Request PDF | Transient adult jejunal intussusception | Intussusception is a rare cause of abdominal pain in adults. It occurs in fewer than 1% of all cases of adult small bowel obstruction. In. Unlike children, adult intussusception has structural etiology in the majority of cases. Owing to the presence of nonspecific symptoms, it presents a unique challenge in management. We hereby present a case of jejunal intussusception in an adult secondary to carcinoid tumor presenting as small bowel obstruction. 2. Case Presentatio

Abdominal pain secondary to intussusception is a common presentation in the paediatric population but rare in adults. Diagnosis is often difficult due to non-specific signs and symptoms. Adult intussusception presents more insidiously with intermittent abdominal pain and signs and symptoms of an acute abdomen are rare. In children, the aetiological factor is usually idiopathic, whereas. Medical records of 11 adult horses with jejunal intussusception examined at 5 veterinary teaching hospitals between 1981 and 1991 were reviewed. Nine of 11 horses had signs of acute abdominal discomfort for < 24 hours, whereas 2 horses had a history of chronic signs Intestinal intussusception is very rare in adults and, unlike in children, it is due to an organic cause, mainly benign or malignant tumors, in 90 % of cases. Recurrent intussusception in an adult is even more exceptional, and in the case reported it was due to repeated occurrence of intestinal pseudopolyps, which is exceptional according to the literature

Transient (non-obstructing) intussusception without a lead point is known to occur in both adults and children and occurs more frequently than was previously reported.. Most commonly, transient intussusception in adults is idiopathic, incidental, and of no clinical consequence 4.Uncommonly, transient but possibly recurrent intussusception is associated with celiac disease or Crohn disease Adult intussusception (AI) is a rare entity with an organic lesion within the intussusception in 70-90% of the cases. Intussusception is classified according to location, etiology, and to the. Intussusception in adults is a rare but well-known cause of intestinal obstruction and is secondary to an underlying pathological bowel lesion in majority of cases. In adults, as the intussusception presents with atypical clinical features, accurate clinical diagnosis is not often possible, resulting in delayed treatment with serious complications In adults, intussusception is usually the result of a medical condition or procedure, including: A polyp or tumor. Scar-like tissue in the intestine (adhesions) Weight-loss surgery (gastric bypass) or other surgery on the intestinal tract. Inflammation due to diseases such as Crohn's disease. Also, what is jejunal loop

Intussusception definition - презентация онлайн

Intussusception is typically a disease of childhood, and its presence in adults is an infrequent clinical entity. Intestinal lipomatosis is a rare pathology, and secondary intussusception is even more uncommon, with only a handful of cases previously documented in the literature In adults, intussusception may seem like a stomachache at first, with symptoms of nausea and vomiting. Look out for stomach pain that comes and goes, getting stronger each time INTRODUCTION. Idiopathic intestinal intussusception represents a very rare entity in adults: about 90% of adult intussusception is due to a pathologic lesion in the bowel wall [].The optimal management strategy for adult intussusception remains controversial and the majority of the adult patients undergo to laparoscopic exploration; unfortunately, conversion to laparotomy in often needed to.

Shrivari Sono Scans: Small bowel intussusception secondary

Follow up for jejunojejunal intussusception Choosing Wisel

Intussusception in adults is extremely rare, found in less than 1 in 1300 abdominal operations. Children are afflicted more than adults with an approximate ratio of 20 to 1. Intussusception represents 1% of small bowel obstruction in adults with the most common cause being a tumor The occurrence of intussusception is rare in adults, accounting only for 5%-10% of all cases of intussusception, 1 with gastrointestinal tumors being the main cause in adults. Development of a jejunal intussusception at the jejunojejunostomy after laparoscopic total gastrectomy with Roux‐en‐Y (LTG‐RY) reconstruction is rare

Adult Jejuno-jejunal intussusception due to inflammatory

In addition, the causes of a lead point precipitating adult intussusception are different depending on whether they arise from the small or large bowel. This report presents a case of jejunal intussusception in a 30-year-old man with a characteristic CT scan who required exploratory laparotomy and small bowel resection Transient jejunal intussusception in an adult is a rare finding with fewer than eight case studies in the English literature . This case report is the first documented case of a malignancy causing an intermittant intussusception. While malignancy is a common aetiology in adults with small bowel intussusception, it has not been reported on in. Adult intussusception is a rare entity (5% of all cases) and is much more common in children, 18 being the most common cause of bowel obstruction (whereas it is responsible for only approximately 1% of adult cases). 10,19 Three main aetiologies have been identified: idiopathic, benign, and malignant. 20 Among the widely available imaging. Intussusception is classified according to site of origin: entero-enteric, ileocolic, or colocolic. The vast majority are entero-enteric with jejuno-jejunal intussusceptions being extremely uncommon. Intussusception in adults is almost always due to intraluminal tumors, and rarely are bezoars or PEG-J tubes cited as underlying causes

Adult intussusception: a retrospective revie

There is limited data on jejunal intussusception, but the studied cases have revealed a tumor or some other intestinal abnormality as the causal agent in the majority of cases . Therefore, the presence of intussusception in an adult is a significant finding, as its presence may allude to an underlying malignancy Intussusception is a medical condition in which a part of the intestine folds into the section immediately ahead of it. It typically involves the small bowel and less commonly the large bowel. Symptoms include abdominal pain which may come and go, vomiting, abdominal bloating, and bloody stool. It often results in a small bowel obstruction. Other complications may include peritonitis or bowel. Rare disease CASE REPORT Jejunal intussusception: a rare cause of an acute abdomen in adults Sonali Patel, Natasha Eagles, Peter Thomas Department of Accident and Emergency, Milton Keynes General Hospital, Milton Keynes, UK Correspondence to Dr Natasha Eagles, [email protected] Accepted 8 May 2014 SUMMARY Abdominal pain secondary to intussusception is a common presentation in the paediatric.

Transient small bowel intussusception in an adult: case

Jejunal lipoma is a rare cause of adult intussusception, is usually diagnosed during surgery with the presence of mechanical obstructive syndrome. Some patients may present with subacute or chronic form, leading to late diagnosis after many investigations or even after a surgery is performed intussusception in the differential diagnosis of acute ab-dominal symptoms. Furthermore, it confirmed the value of US for signaling the possibility of an intussusception, even in adults. According to the literature, intussusception in adults is a relatively rare cause of intestinal obstruction1-3), with th

Pediatric Intussusception Surgery: Background, AnatomyIntussusception ~ Ultrasound Cases InfoON - RADIOLOGY: Coiled-spring appearance of IntussusceptionIntussusception | Radiology Reference Article

gastrointestinal (GI) series and barium [1-3] Adult intussusception accounts for less enema can be used depending on the clinical than 5% of all cases of intussusception and situation. However, the diagnosis in some is an infrequent cause of intestinal instances is often made intraoperatively. obstruction (1-3%) which may be acute, The mainstay. Herein, we present the case of a 75-year-old male patient with vague abdominal pain and black stool during defecation, who underwent surgery due to jejunal intussusception. Pathology report demonstrated a neuroendocrine carcinoma as the underlying cause for his condition, with no additional metastases during the initial diagnosis Jejunal lymphatic malformations are congenital lesions that are seldom diagnosed in adults and rarely seen on imaging. A 61-year-old Caucasian woman was initially diagnosed and treated for mucinous ovarian carcinoma. After an exploratory laparotomy with left salpingo-oophorectomy, a computed tomography scan of the abdomen and pelvis demonstrated suspicious fluid-containing lesions involving a. Intussusception is a serious condition that occurs when a portion of the intestines moves inside itself (similar to how a telescope works) and causes a blockage. It is more common in infants and children than it is in adults. Intussusception can be life-threatening and requires immediate treatment. Symptoms of intussusception can include. Intussusception is a rare cause of postoperative intestinal obstruction in adults. We experienced two cases of bowel obstruction due to the jejuno-jejunal intussusception after harvest of a free jejunum graft for reconstruction after cervical esophagectomy. Bowel obstruction occurred early in the postoperative course, and reoperations were needed in both cases