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Case Report
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| Incidentally diagnosed intussusception spontaneously resolved in an adult patient after blunt trauma: A rare case report | ||||||
| Catherine R Lewis1, Omar K Danner2, Kenneth L Wilson3, L Ray Matthews4 | ||||||
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1MD, PhD, General Surgery Resident, Department of Surgery, Morehouse School of Medicine, Atlanta, GA, USA.
2MD, FACS, Assistant Professor, Department of Surgery, Morehouse School of Medicine, Atlanta, GA, USA. 3MD, FACS, Director of Trauma, Associate Program Director, Department of Surgery, Morehouse School of Medicine, Atlanta, GA, USA. 4MD, FACS, Director of Critical Care, Department of Surgery, Morehouse School of Medicine, Atlanta, GA, USA. | ||||||
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| How to cite this article: |
| Lewis CR, Danner OK, Wilson KL, Matthews LR. Incidentally diagnosed intussusception spontaneously resolved in an adult patient after blunt trauma: A rare case report. International Journal of Case Reports and Images 2013;5(1):36–40. |
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Abstract
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Introduction:
Although intussusception is a rare cause of mechanical bowel obstruction in adults, traumatic intussusception is exceedingly rare. In adults, intussusception contributes less than 1–5% of bowel obstructions. The first report of the diagnosis of intussusceptions was over three centuries ago (1674) by Barbette in Amsterdam. However, the first surgical treatment for this condition in literature was not until almost 100 years later in 1871 by Sir Jonathan Hutchinson, who operated on a child with intussusceptions. Risk factors include age, sex, abnormal peristalsis and pre-existing abdominal pathology.
Case Report: A case of jejunojejunal intussusception in an otherwise healthy 48-year-old female following blunt trauma is presented. The patient was treated conservatively with complete spontaneous resolution of her symptoms. Intussusceptions following blunt trauma is a very rare condition, which may be difficult to diagnose, and usually present as incidental findings. Laparotomy may be necessary in unstable trauma patients and in those individuals whose symptoms of mechanical bowel obstruction fail to resolve in a timely manner or who develop acute peritonitis. In conclusion, intussusception associated with blunt trauma may occur more frequently than previously suspected. Surgical intervention is not always necessary. Conservative management of patients that present with post-traumatic intussusception without other symptomatology may be safely undertaken, unless changes in clinical exam warrant operative intervention. Conclusion: Trauma surgeons should be aware of the possibility of intussusception in any patient that presents with obstructive symptoms after blunt trauma. Early diagnosis is the key to avoiding bowel ischemia and resection. | |
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Keywords:
Intussusception, Blunt trauma, Bowel obstruction, Jejunojejunal intussusception
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Author Contributions
Catherine R Lewis – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Omar K Danner – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Kenneth L Wilson – Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published L Ray Matthews – Acquisition of data, Drafting the article, Revising it critically for important intellectual content, 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
© Catherine R Lewis et al. 2014; 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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