Adult intussusception secondary to inflammatory polyps

Adult intussusception is a rare entity that may present in the acute and subacute setting principally related to the degree of bowel obstruction. Preoperative diagnosis of this condition may be difficult. The intussusception is usually due to a definable intraluminal lesion, most probably neoplasia,...

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Main Authors: Jabar, Mohd Faisal, Prasannan, Subhita, Alif Gul, Yunus Gul
Format: Article
Language:English
Published: Elsevier 2005
Online Access:http://psasir.upm.edu.my/id/eprint/16549/
http://psasir.upm.edu.my/id/eprint/16549/1/Adult%20intussusception%20secondary%20to%20inflammatory%20polyps.pdf
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author Jabar, Mohd Faisal
Prasannan, Subhita
Alif Gul, Yunus Gul
author_facet Jabar, Mohd Faisal
Prasannan, Subhita
Alif Gul, Yunus Gul
author_sort Jabar, Mohd Faisal
building UPM Institutional Repository
collection Online Access
description Adult intussusception is a rare entity that may present in the acute and subacute setting principally related to the degree of bowel obstruction. Preoperative diagnosis of this condition may be difficult. The intussusception is usually due to a definable intraluminal lesion, most probably neoplasia, unlike intussusception in children. We present the cases of two adult male patients with intussusception. The first presented with acute small-bowel obstruction secondary to a retrograde ileojejunal intussusception with a pseudopolyp as the lead point. This was possibly due to a retrograde ball-valve effect. The intussuscepting segment was resected. The second patient presented with unexplained chronic diarrhoea and an intussusception occurring within the caecum, as demonstrated at colonoscopy, with a terminal ileal pedunculated fibroid polyp as the lead point. A limited right hemicolectomy was performed. Both patients recovered uneventfully and have remained well. A brief literature review of adult intussusception complements the case reports, with an emphasis on the pathogenesis of inflammatory polyps and recommended surgical management.
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spelling upm-165492016-04-08T01:37:01Z http://psasir.upm.edu.my/id/eprint/16549/ Adult intussusception secondary to inflammatory polyps Jabar, Mohd Faisal Prasannan, Subhita Alif Gul, Yunus Gul Adult intussusception is a rare entity that may present in the acute and subacute setting principally related to the degree of bowel obstruction. Preoperative diagnosis of this condition may be difficult. The intussusception is usually due to a definable intraluminal lesion, most probably neoplasia, unlike intussusception in children. We present the cases of two adult male patients with intussusception. The first presented with acute small-bowel obstruction secondary to a retrograde ileojejunal intussusception with a pseudopolyp as the lead point. This was possibly due to a retrograde ball-valve effect. The intussuscepting segment was resected. The second patient presented with unexplained chronic diarrhoea and an intussusception occurring within the caecum, as demonstrated at colonoscopy, with a terminal ileal pedunculated fibroid polyp as the lead point. A limited right hemicolectomy was performed. Both patients recovered uneventfully and have remained well. A brief literature review of adult intussusception complements the case reports, with an emphasis on the pathogenesis of inflammatory polyps and recommended surgical management. Elsevier 2005-01 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/16549/1/Adult%20intussusception%20secondary%20to%20inflammatory%20polyps.pdf Jabar, Mohd Faisal and Prasannan, Subhita and Alif Gul, Yunus Gul (2005) Adult intussusception secondary to inflammatory polyps. Asian Journal of Surgery, 28 (1). pp. 58-61. ISSN 1015-9584; ESSN: 0219-3108 http://www.sciencedirect.com/science/article/pii/S1015958409602621?np=y 10.1016/S1015-9584(09)60262-1
spellingShingle Jabar, Mohd Faisal
Prasannan, Subhita
Alif Gul, Yunus Gul
Adult intussusception secondary to inflammatory polyps
title Adult intussusception secondary to inflammatory polyps
title_full Adult intussusception secondary to inflammatory polyps
title_fullStr Adult intussusception secondary to inflammatory polyps
title_full_unstemmed Adult intussusception secondary to inflammatory polyps
title_short Adult intussusception secondary to inflammatory polyps
title_sort adult intussusception secondary to inflammatory polyps
url http://psasir.upm.edu.my/id/eprint/16549/
http://psasir.upm.edu.my/id/eprint/16549/
http://psasir.upm.edu.my/id/eprint/16549/
http://psasir.upm.edu.my/id/eprint/16549/1/Adult%20intussusception%20secondary%20to%20inflammatory%20polyps.pdf