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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

Histologic findings. (a) Gross image shows a 6 × 3.7 cm sized solitary polyp in jejunum. (b) Microscopically, the polyp showed cystic dilation and many branched tortuous glands surrounded by an inflammatory stroma, which were consistent with a juvenile polyp. Hematoxylin-eosin stain (40x).
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fig4: Histologic findings. (a) Gross image shows a 6 × 3.7 cm sized solitary polyp in jejunum. (b) Microscopically, the polyp showed cystic dilation and many branched tortuous glands surrounded by an inflammatory stroma, which were consistent with a juvenile polyp. Hematoxylin-eosin stain (40x).

Mentions: The pathologic report indicated a solitary hamartomatous polyp, measuring 6 cm in maximum diameter (Figure 4(a)). Microscopically, the polyp showed cystic dilation and hyperplastic glands with inflammatory stroma, which were consistent with a juvenile polyp (Figure 4(b)). Since the anastomotic bowel was dilated and edematous during the operation, we advanced the patient's diet slowly. The patient was discharged on the seventh postoperative day (POD) without complications. Three weeks after the operation, the patient underwent gastroduodenoscopy, colonoscopy, and small bowel series with double-contrast barium. These examinations revealed no specific findings.


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)

Histologic findings. (a) Gross image shows a 6 × 3.7 cm sized solitary polyp in jejunum. (b) Microscopically, the polyp showed cystic dilation and many branched tortuous glands surrounded by an inflammatory stroma, which were consistent with a juvenile polyp. Hematoxylin-eosin stain (40x).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig4: Histologic findings. (a) Gross image shows a 6 × 3.7 cm sized solitary polyp in jejunum. (b) Microscopically, the polyp showed cystic dilation and many branched tortuous glands surrounded by an inflammatory stroma, which were consistent with a juvenile polyp. Hematoxylin-eosin stain (40x).
Mentions: The pathologic report indicated a solitary hamartomatous polyp, measuring 6 cm in maximum diameter (Figure 4(a)). Microscopically, the polyp showed cystic dilation and hyperplastic glands with inflammatory stroma, which were consistent with a juvenile polyp (Figure 4(b)). Since the anastomotic bowel was dilated and edematous during the operation, we advanced the patient's diet slowly. The patient was discharged on the seventh postoperative day (POD) without complications. Three weeks after the operation, the patient underwent gastroduodenoscopy, colonoscopy, and small bowel series with double-contrast barium. These examinations revealed no specific findings.

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