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Laparoscopic-assisted resection of jejunojejunal intussusception caused by a juvenile polyp in an adult.

Kang SI, Kang J, Kim MJ, Kim IK, Lee J, Lee KY, Sohn SK - Case Rep Surg (2014)

Bottom Line: Most bowel intussusceptions in adults have a leading point.We report herein the case of a 19-year-old female with a solitary juvenile polyp in the jejunum causing intussusception.Laparoscopic-assisted reduction and segmental resection of the jejunum were successfully done for the patient.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Enoju-ro, Gangnam-gu, Seoul 135-720, Republic of Korea.

ABSTRACT
Most bowel intussusceptions in adults have a leading point. However, there have been few reports of jejunojejunal intussusception secondary to a solitary juvenile polyp in adult. We report herein the case of a 19-year-old female with a solitary juvenile polyp in the jejunum causing intussusception. Laparoscopic-assisted reduction and segmental resection of the jejunum were successfully done for the patient.

No MeSH data available.


Related in: MedlinePlus

Abdominal pelvic computed tomography and ultrasonography. (a) Coronal view of the CT scan shows a long segment of jejunojejunal intussusception and polyps within the jejunum (white arrow). (b) Sonographic finding of a target sign suspected to be intussusception.
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fig1: Abdominal pelvic computed tomography and ultrasonography. (a) Coronal view of the CT scan shows a long segment of jejunojejunal intussusception and polyps within the jejunum (white arrow). (b) Sonographic finding of a target sign suspected to be intussusception.

Mentions: A 19-year-old female with acute developed abdominal pain of 7 hours duration was referred to our hospital from a local clinic. Abdominal contrast-enhanced computed tomography (CT) that was performed at the local clinic revealed jejunojejunal intussusception owing to a solitary polyp (Figure 1(a)). She had no specific past medical, surgical, or familial history. Her vital signs were stable. On examination, the abdomen was mildly distended, but rigidity and rebound tenderness were not clearly elicited. All laboratory findings were within the normal range. There was no evidence of definite bowel obstruction in the plain abdominal X-ray taken in our emergency department. Abdominal ultrasonography (US) was performed to evaluate the current status of intussusception. There was still long segmental small bowel intussusception with a target sign at the left periumbilical area (Figure 1(b)). We decided to perform an emergent operation.


Laparoscopic-assisted resection of jejunojejunal intussusception caused by a juvenile polyp in an adult.

Kang SI, Kang J, Kim MJ, Kim IK, Lee J, Lee KY, Sohn SK - Case Rep Surg (2014)

Abdominal pelvic computed tomography and ultrasonography. (a) Coronal view of the CT scan shows a long segment of jejunojejunal intussusception and polyps within the jejunum (white arrow). (b) Sonographic finding of a target sign suspected to be intussusception.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4109603&req=5

fig1: Abdominal pelvic computed tomography and ultrasonography. (a) Coronal view of the CT scan shows a long segment of jejunojejunal intussusception and polyps within the jejunum (white arrow). (b) Sonographic finding of a target sign suspected to be intussusception.
Mentions: A 19-year-old female with acute developed abdominal pain of 7 hours duration was referred to our hospital from a local clinic. Abdominal contrast-enhanced computed tomography (CT) that was performed at the local clinic revealed jejunojejunal intussusception owing to a solitary polyp (Figure 1(a)). She had no specific past medical, surgical, or familial history. Her vital signs were stable. On examination, the abdomen was mildly distended, but rigidity and rebound tenderness were not clearly elicited. All laboratory findings were within the normal range. There was no evidence of definite bowel obstruction in the plain abdominal X-ray taken in our emergency department. Abdominal ultrasonography (US) was performed to evaluate the current status of intussusception. There was still long segmental small bowel intussusception with a target sign at the left periumbilical area (Figure 1(b)). We decided to perform an emergent operation.

Bottom Line: Most bowel intussusceptions in adults have a leading point.We report herein the case of a 19-year-old female with a solitary juvenile polyp in the jejunum causing intussusception.Laparoscopic-assisted reduction and segmental resection of the jejunum were successfully done for the patient.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Enoju-ro, Gangnam-gu, Seoul 135-720, Republic of Korea.

ABSTRACT
Most bowel intussusceptions in adults have a leading point. However, there have been few reports of jejunojejunal intussusception secondary to a solitary juvenile polyp in adult. We report herein the case of a 19-year-old female with a solitary juvenile polyp in the jejunum causing intussusception. Laparoscopic-assisted reduction and segmental resection of the jejunum were successfully done for the patient.

No MeSH data available.


Related in: MedlinePlus