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Case Report
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| Idiopathic double telescoping intussusception in an adult | ||||||
| Sahoo Manash Ranjan1, Gowda Manoj Srinivas2, Kaladagi Raghavendra Mohan2, | ||||||
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1MBBS, MS (General Surgery), Associate Professor, Department of General Surgery, SCB Medical college and Hospital, Cuttack, Odisha, India.
2MBBS, MS (General Surgery), Post Graduate, Department of General Surgery, SCB Medical college and Hospital, Cuttack, Odisha, India. | ||||||
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| How to cite this article: |
| Sahoo MR, Gowda MS, Kaladagi RM. Idiopathic double telescoping intussusception in an adult. International Journal of Case Reports and Images 2013;4(12):691–694. |
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Abstract
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Introduction:
Intussusception is uncommon in adults compared with the pediatric population. Unlike its pediatric counterpart, intussusception in adults is associated with obvious pathology. Small bowel intussusceptions are much less common than the ileocolic type, with jejunoileal intussusceptions being amongst the rarest. There are no reports of double intussusception in literature. We report a first case of double telescoping intussusception in an adult where the proximal ileum (intussusceptum) is telescoping into distal ileum (intussuscipiens) and this as a whole is again telescoping into terminal ileum.
Case Report: A 46-year-old woman came to the emergency ward with a three-day history of pain abdomen, distension and multiple episodes of bilious vomiting. The abdomen was distended and there was rebound tenderness on palpation. There was a palpable mass just below the umbilicus. Plain X-ray abdomen showed multiple air fluid levels. Ultrasonography of abdomen showed dilated bowel loops, with target sign giving an impression of ileoileal intussusception. Intraoperatively double telescoping ileoileal intussusception was present one foot proximal to ileocecal junction. Resection of the ileal segment bearing the intussusception with end ileostomy was done. Conclusion: Intussusception in adults is very rare and has an identifiable cause in 80% of cases. Double telescoping intussusception is the condition where there will be a proximal segment intussuscepting in to the distal segment and this whole thing will again intussuscept into the still farther segment of intestine. | |
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Keywords:
Intussusception, Laparotomy, Intussusceptum, Intussuscipiens
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Author Contributions
Manash Ranjan Sahoo – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Manoj Srinivas Gowda – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Raghavendra Mohan Kaladagi – Acquisition of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Manash Ranjan Sahoo et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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