intussusception in adults cancer

The patient was discharged on the 6th day after the operation. The tumor is the main cause of intussusception in adults, accounting for 6377% of the total cases. 2018;81(3):36772. Conceptualization: QL. Babies and young children are more likely than adults to get intussusception. Four patients had the lead point of the intussusception in the small bowel: two in the jejunum and the other two in the ileum. By using this website, you agree to our After successful reduction, the intussusception length of about 70cm was discovered. 15461551, 2006. The diagnosis of intussusception was made preoperatively in four patients by CT scan and/or US. So, a manual reduction was performed [8]. This is the first case report about intussusception that occurred after removing a long intestinal tube (LT). Relevant issues were discussed and analyzed. In enterocolonic intussusception, the lead point can be located in the small bowel, in the large bowel, often in the caecum (Figure 13), or in the appendix. National Library of Medicine The site is secure. de Clerck F, Vanderstraeten E, De Vos M, Van Steenkiste C. Adult intussusception: 10-year experience in two Belgian centres. A color Doppler ultrasonography of the abdomen revealed a low echo mass in the right middle abdomen. 18. Adolescent, young adult cancer survivors at greater risk for HPV-related malignancies. A. J. Siddiqi, O. Arafat, P. Nikolaidis, and V. Yaghmai, MDCT diagnosis of ileocolic intussusception secondary to an appendiceal mucocele: value of multiplanar reformation, Emergency Radiology, vol. A 14-year experience at a UK tertiary referral centre. O. Catalano, Transient small bowel intussusception: CT findings in adults, British Journal of Radiology, vol. As there are many common causes of acute abdomen, intussusception should . Colonic intussusception is rare in adults and is most commonly associated with a malignant tumour. Background: Intussusception in adults is often diagnosed on computed tomography (CT), and the optimal treatment of this entity is not universally agreed upon. MeSH Enema or colonoscopy can detect and reduce intussusception, which is conducive to the qualitative diagnosis of organic lesions (5). 1, pp. Transient small bowel intussusception in an adult: case report with 2010;75(1):469. The danger in reduction of externally vital bowel with mucosal necrosis, intraluminal seeding, or venous embolization of malignant cells has been pointed out. Physical examination: slight abdominal distension, hyperactive bowel sounds (about 6 times/min), no tenderness or rebound pain, shifting dullness, no high-pitched bowel sounds, or gurgling. Sigmoid-rectal intussusception (Figure 12) is a very rare condition in which concentric invagination of distal sigma progresses towards rectal ampulla but does not protrude through the anus [23]. In this case, a biopsy through enteroscopy confirmed that it was moderately differentiated adenocarcinoma. Axial CT images (a, b) demonstrate a soft-tissue density round mass with thin eccentric hypodensity (arrow). 8600 Rockville Pike Rosire A, de Cannire L, Frangi R, Michel LA. On postoperative day 2, the patient passed flatus and was suggested to start oral water intake. What Is Intussusception? - WebMD - Better information. Better health. Background: We are reporting a rare case of MUTYH-associated polyposis, a colorectal cancer hereditary syndrome, diagnosticated after an intussusception. It is composed of a central intussusceptum and outer intussuscipiens, separated by mesenteric fat, which appears as a low-attenuation layer. Emergency abdominal CT showed intussusception (Fig. 19. MDCT is well suited to delineate the presence of the disease and provides valuable information about several features, such as the site of intussusception, the intestinal segments involved, and the extent of the intussuscepted bowel. A. Zubaidi, F. Al-Saif, and R. Silverman, Adult intussusception: a retrospective review, Diseases of the Colon and Rectum, vol. Most cases of small bowel intussusceptions are secondary to benign intra- or extraluminal lesions, such as inflammatory lesions, Meckels diverticulum [21], postoperative adhesions, lipoma (Figure 5), and adenomatous polyps [3], but they can also be iatrogenic (placement of intestinal tube, gastrojejunostomy) or caused by abdominal trauma [22] (Figure 6). Ultrasonographically the findings are that of a bowel mass with concentric layers of hyper- and hypoechogenicity. Intussusception in adults is an uncommon situation that represents 5% of the total incidents of intussusception and constitutes the cause for 1% of intestinal obstructions . WASHINGTON, D.C. Senator Rick Scott joined Ranking Member Mike Braun and Senator JD Vance of the Senate Special Committee on Aging in sending a letter on Friday to the Food and Drug Administration (FDA) requesting information on why the FDA is allowing unapproved cancer drugs from China rather than addressing the needs of older adults who are impacted by drug shortages. The Diagnosis and Treatment of Adult Intussusception - Lippincott Home Adult intussusception: a systematic review and meta-analysis. Intussusception reveals MUTYH-associated polyposis syndrome and colorectal cancer: a case report. Computed tomographic (CT) scans can reveal unsuspected intussusception. official website and that any information you provide is encrypted Part of 15 In general, the majority of lead points in the small bowel . de Mesquita GHA, Carvalho BJ, de Almeida Medeiros KA, Nii F, Martines DR, Pipek LZ, Jardim YJ, Waisberg DR, Obara MT, Sitnik R, Meyer A, Mangueira CLP. Terms and Conditions, Fulltext; . Endoscopic correction of intussusception and removal of a colonic lipoma. Moreover, MDCT can demonstrate the complications of intussusceptions, represented by bowel wall ischemia and perforation, which are mandatory to promptly refer for surgery. Intussusception can be diagnosed according to specific signs detected on the image of a CT scan, such as concentric circle sign, comet tail sign or kidney-shaped sign. Copyright 2016 Viola Valentini et al. your express consent. Physical examination and digital rectal examination were both unremarkable. Approximately 5% of colorectal cancers can be attributed to syndromes known . Korean J Gastroenterol. 6872, 2003. 29. Six patients showed signs of partial or complete intestinal obstruction. The term intussusception refers to invagination of a segment of the gastrointestinal tract into the lumen of an adjacent segment. Plain abdominal radiography (a) shows gas-fluid levels within distended small bowel loops. N Engl J Med 2001; 345:964. . Considering the high incidence of primary adenocarcinoma, it should be resected without reduction in colonic intussusception (7). The original contributions presented in the study are included in the article/Supplementary Material, further inquiries can be directed to the corresponding author/s. Am Fam Physician. No abdominal pain or bloating developed after food intake. To help guide treatment decisions, it is important to diagnose the organic intussusception lesion. Bowel intussusceptions in adults: the role of imaging. 28 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. Enteroenteric intussusception. These cases highlight the difficulty of diagnosing intermittent adult intussusception and that atypical abdominal pain might herald an otherwise occult colorectal cancer. In these settings, preoperative endoscopy can be performed to confirm the presence of pathology and/or cancer (6). Dilated proximal bowel loops are opacified with oral contrast. According to the BMJ Best Practice, Intussusception occurs when one part of the intestine slides into the next section.. Transient intussusception with no signs of intestinal obstruction or intestinal ischemia. 14. The radiologists aim is not only to recognize intussusception, but also to define its location, enteroenteric, colocolonic, or enterocolonic, to evaluate underlying pathology, and to identify complicated intussusceptions, associated with obstruction or ischemia, which represent indications for surgical exploration. A color Doppler ultrasonography of the abdomen revealed a low echo . Lipomas are the most common benign cause of colonic intussusception. Immunohistochemistry: Ki67 (about 60%, +), MLH1 (+), MSH2 (+), MSH6 (+), PMS2 (+), Her-2 (weak +). https://doi.org/10.1136/bcr-2019-229931. This is a rare entity and it is more prevalent in children and less common in adults. Adult Intestinal Intussusception: CT Appearances and Identification of Weilbaecher D, Bolin JA, Hearn D, et al. Malignant tumors are the most common cause of intussusception caused by tumors (5073%) [5]. 134138, 1997. Adult intussusception represents 5% of all cases of intussusception and accounts for only 1%-5% of intestinal obstructions in adults ( 1, 2 ). Unauthorized use of these marks is strictly prohibited. Six patients were antegrade intussusception and another one was retrograde. Omori H, Asahi H, Inoue Y, Irinoda T, Takahashi M, Saito K. Intussusception in adults: a 21-year experience in the university-affiliated emergency center and indication for nonoperative reduction. Before This is an open access article distributed under the. In asymptomatic patients, the diagnosis of intussusception is often an incidental finding on MDCT performed for other reasons [17]. 12. J. D. Rea, M. E. Lockhart, D. E. Yarbrough, R. R. Leeth, S. E. Bledsoe, and R. H. Clements, Approach to management of intussusception in adults: a new paradigm in the computed tomography era, The American Surgeon, vol. 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 ]. Computed tomography scan was used in four patients, and it made the diagnosis in all four patients (Fig. She received S-1 (50mg) monotherapy on September 25, 2018, November 13, 2018, January 8, and March 26, 2019. 52 The commonest reported type is an ileocolic intussusception. Angiographic diagnosis of small intestinal intussusception. When clinical manifestations are difficult to diagnose intussusception, CT is the most accurate method for a definite diagnosis. Lorigan JG, DuBrow RA. This study was supported by the Science and Technology Planning Project of Zhejiang Province (No.2017F30045), Science and Technology Planning Project of Traditional Chinese Medicine (No.2018ZZ004),Gastrointestinal surgery of integrated traditional Chinese and Western Medicine (No.2017-XK-A20).
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