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Case Report
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| Adult idiopathic ileocolic intussusception: A case report | ||||||
| Masaki Bannai1, Antonio Pais2 | ||||||
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1MBBS, Resident, Cardiology, the Prince Charles Hospital, Chermside, QLD, Australia.
2MBBS, RANZCR, Department director, Radiology, Mackay Base Hospital, Mackay, QLD, Australia. | ||||||
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| How to cite this article |
| Bannai M, Pais A. Adult idiopathic ileocolic intussusception: A case report. Int J Case Rep Images 2016;7(10):566–569. |
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Abstract
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Introduction:
Intussusception is a rare cause of acute abdomen in adults. Traditionally, management of adult intussusception has mandated surgical interventions due to a high incidence of malignant lesion resulting in intussusception. However, recent literature challenges the traditional view of mandatory surgical interventions for all adult intussusceptions due to an increasing number of benign and idiopathic cases. These benign and idiopathic cases of adult intussusceptions are more readily identified partly due to recent widespread use of computed tomography imaging technique. With the growing number of idiopathic cases, recent literature recommends against the traditional mandatory operative exploration of all adult intussusceptions, only advocating surgical interventions for selected cases.
Case Report: A 38-year-old female presented with an acute onset of severe right-sided abdominal pain with associated nausea, vomiting and rectal bleeding to our emergency department. Her computed tomography scan of abdomen and pelvis showed an ileocolic intussusception which had advanced to the level of the hepatic flexure without any mass lesion. The patient underwent an emergency ileocecal resection with side-to-side anastomosis of terminal ileum to ascending colon. Conclusion: This case report adds to literature with evaluation of the rare form of adult intussusception without a lead point. There may be a role for a conservative management approach of subtypes with high incidence of primary malignant lesions in the absence of a lead point on a CT scan especially among young patients without any concerning features. | |
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Keywords:
Adult idiopathic ileocolic intussusception, Rectal bleeding
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Author Contributions
Masaki Bannai – 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 Antonio Pais – Substantial contributions to conception and design, 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
© 2016 Masaki Bannai et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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