110 results match your criteria intussuception atypical


Coeliac disease presenting atypically: A much wider spectrum.

Trop Doct 2021 Feb 11:49475521991348. Epub 2021 Feb 11.

Director Professor, Genetic division, Department of Pediatrics, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi, India.

Atypical coeliac disease in young children is frequently missed when it presents atypically as non-gastrointestinal presentations to different specialties. There was a greater delay (54 months) in establishing the diagnosis in those with atypical coeliac disease (p < 0.001). Read More

View Article and Full-Text PDF
February 2021

Atypical Presentation of Celiac Disease: Recurrent Acute Small Bowel Obstruction.

Clin Med Insights Case Rep 2021 13;14:1179547620986152. Epub 2021 Jan 13.

Pediatric B Department, Mother-Child Pole, Mohammed VI University Hospital, Marrakesh, Morocco.

Context: Intussusception is the most common cause of small bowel obstruction in children under 4 years of age. Intussusception is not a widely recognized complication of celiac disease.

Case Report: We present a clinical case of a 23-month-old boy with a 1-month history of watery diarrhea complicated by 2 episodes of intestinal obstruction, both had required surgery. Read More

View Article and Full-Text PDF
January 2021

Jejunal Polyps out of Place: A Case of Gastric Heterotopia of the Jejunum.

Case Rep Gastrointest Med 2020 20;2020:8822019. Epub 2020 Aug 20.

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.

Heterotopia is the presence of normal physiologic tissue in an atypical location. Gastric heterotopia has been described in various locations throughout the gastrointestinal tract, including the small intestine. Gastric heterotopia of the small intestine typically is asymptomatic but may present in several ways with symptoms of obstruction, bleeding, perforation, intussusception, or pain. Read More

View Article and Full-Text PDF

Not only appendicitis: rare appendix disorders manifesting as surgical emergencies in children.

Eur J Pediatr 2021 Feb 18;180(2):407-413. Epub 2020 Aug 18.

Department of Pediatric and Adolescent Surgery, Schneider Children's Medical Center of Israel affiliated with Sackler Faculty of Medicine, Tel Aviv University, Kaplan St 14, 4920235, Petah Tikva, Israel.

Acute appendicitis is the most common cause of acute abdominal pathology in children. However, other rare non-inflammatory non-neoplastic disorders involving the appendix may manifest as surgical emergencies. This study aimed to describe these atypical entities and present representative cases. Read More

View Article and Full-Text PDF
February 2021

Ileocecal intussusception caused by two different tumors - which is the culprit lesion? A case report.

World J Clin Cases 2020 May;8(10):2044-2049

Department of Pancreatic-Biliary Surgery, First Hospital of China Medical University, Shenyang 110001, Liaoning Province, China.

Background: Ileocecal intussusception caused by two different tumors is rare, according to a literature review. We describe a case of a male patient with a cauliflower-like mass in the middle of the transverse colon observed by colonoscopy before surgery. It was considered to be intussusception caused by colon cancer. Read More

View Article and Full-Text PDF

Imaging features, complications and differential diagnoses of abdominal cystic lymphangiomas.

Abdom Radiol (NY) 2020 11;45(11):3589-3607

Department of Digestive Diagnostic and Interventional Radiology, University Hospital Claude Huriez - Regional University Hospital Center, rue Michel Polonoski, 59037, Lille Cedex, France.

Purpose: The aim of the study is to describe the imaging features, complications and differential diagnoses of abdominal cystic lymphangiomas (ACLs).

Results: ACLs are benign lymphatic malformations that mainly arise in the subperitoneal space and the retroperitoneum. The typical presentation of an ACL is a multilocular lesion with homogenous serous content, presenting a thin wall and septa, usually free from adjacent organ compression. Read More

View Article and Full-Text PDF
November 2020

[Throat and abdominal symptoms in malignant lymphoma; recognize the alarm signals in children].

Ned Tijdschr Geneeskd 2020 02 27;164. Epub 2020 Feb 27.

Prinses Máxima Centrum voor kinderoncologie, afd. Hemato-oncologie, Utrecht.

In children, a malignant lymphoma can present with life-threatening complications arising from progressive tumour growth, warranting swift diagnosis and treatment. Early recognition can be challenging if a child with paediatric lymphoma presents with abdominal and throat symptoms because of the frequency, and frequently benign nature, of these symptoms in the general paediatric population. In these cases, it is essential for the physician to recognize the alarm signals for suspicion of malignant lymphoma, to allow timely diagnosis and treatment. Read More

View Article and Full-Text PDF
February 2020

Altered Mental Status as the Primary Presentation of Intussusception in a 3-Month-Old Child Diagnosed by Point-Of-Care Ultrasonography.

J Emerg Med 2020 Feb 20;58(2):e87-e91. Epub 2020 Jan 20.

Department of Pediatrics at Jacobi Hospital, Albert Einstein College of Medicine, Bronx, New York.

Background: Intussusception can lead to significant morbidity in affected children secondary to tissue ischemia and necrosis. When a child outside of the classic age range presents with symptoms other than intermittent abdominal pain, the diagnosis of intussusception can be difficult and is often delayed.

Case Report: We present the case of a three-month-old boy who presented to the emergency department with waxing and waning mental status and seizure-like activity who was ultimately diagnosed with intussusception. Read More

View Article and Full-Text PDF
February 2020

A 2-year-old with a hepatic abscess secondary to an ascending retrocecal appendicitis: case report and review of the literature.

Int J Emerg Med 2019 Dec 19;12(1):41. Epub 2019 Dec 19.

D.O. Assistant Clinical Professor, Beaumont Hospital, Botsford Campus, Teaching hospital of Michigan State University, Department of Emergency Medicine, Farmington Hills, MI, USA.

Background: Diagnosing appendicitis within the pediatric population can be challenging, whether it be a neonate with irritability or a toddler with flank pain. Symptoms may mimic a viral illness, constipation, urinary tract infection, or intussusception, all of which are more common in this age group when compared with appendicitis. While a ruptured appendicitis can result in an intra-abdominal abscess, peritonitis, and/or shock, the development of a pyogenic hepatic abscess is extremely rare. Read More

View Article and Full-Text PDF
December 2019

[Distal Ileal Lymphoma Presenting Ileocecal Intussusception with Spontaneous Reduction].

Korean J Gastroenterol 2019 Nov;74(5):291-294

Division of Gastroenterology, Department of Internal Medicine, Dong-A University Hospital, Busan, Korea.

Intussusception is a rare disease in adults. A demonstrable etiology is found in approximately 85% of all cases, and approximately 40% of them are caused by malignant tumors. A 65-year-old patient visited the outpatient department with mild abdominal pain without other symptoms. Read More

View Article and Full-Text PDF
November 2019

Appendix intussusception in a young patient with Crohn's disease.

J Visc Surg 2020 Aug 4;157(4):355-357. Epub 2019 Nov 4.

Department of digestive, oncologic and metabolic surgery, institut mutualiste Montsouris, université Paris Descartes, 75014 Paris, France. Electronic address:

Appendix intussusception is rare, can be responsible of chronic unexplained abdominal pain and is mostly associated with inflammatory changes or endometriosis. A 23-year-old woman with Crohn's disease was diagnosed invaginated appendix by CT-scan and colonoscopy after several acute atypical abdominal pain episodes. These episodes were suspected to be independent of the Crohn's disease and to be attributed to the intussusception itself. Read More

View Article and Full-Text PDF

Low-grade appendiceal mucinous neoplasms with bowel obstruction.

Pleura Peritoneum 2019 Sep 11;4(3):20190020. Epub 2019 Oct 11.

Department of Digestive and Oncologic Surgery, Claude Huriez University Hospital, Centre Hospitalier Universitaire (CHU) Lille, Université de Lille, Lille, France.

Background: Perforation of low-grade appendiceal mucinous neoplasms (LAMN) is characterized by its potential to spread mucin into peritoneal cavity, giving rise to pseudomyxoma peritonei, commonly treated with cytoreductive surgery and hyperthermic intraperitoneal chemotherapy.Symptoms of intestinal obstruction and appendiceal infection are rare at early stages of the disease, while abdominal distension are observed in the later stages due to mucin spread.

Methods: We report herein a case of LAMN with atypical symptoms in a 35-year-old woman with abdominal symptoms evoking an intestinal obstruction. Read More

View Article and Full-Text PDF
September 2019

Postoperative intestinal intussusception in children, an easily missed culprit of postoperative intestinal obstruction: Case series and literature review.

Int J Surg Case Rep 2019 28;60:336-339. Epub 2019 Jun 28.

Al-Quds University, Faculty of Medicine, Jerusalem, Palestine. Electronic address:

Background: Postoperative intestinal intussusception (POI) is a rare cause of intestinal obstruction with POI after surgical reduction of ileocolic intussusception being an extremely rare variant. POI was reported to follow many abdominal and non-abdominal operations. A late diagnosis can risk ischemia and necrosis. Read More

View Article and Full-Text PDF

A rare case of ileo-ileal intussusception due to a bleeding lipomatous mass treated by laparoscopic ileal resection.

Ann Ital Chir 2019 May 2;8. Epub 2019 May 2.

Introduction: Adult intussusception is a rare cause of bowel obstruction with atypical presentation. It can be associated with primary or secondary intestinal tumors and, rarely, with lipomatous masses.

Case Report: We report the case of a 69-year old man presenting with a history of gastrointestinal bleeding and anemia. Read More

View Article and Full-Text PDF

Clinical Characteristics of Intussusception with Surgical Reduction: a Single-Center Experience with 568 Cases.

J Gastrointest Surg 2019 11 11;23(11):2255-2262. Epub 2019 Mar 11.

The First Affiliated Hospital of Wenzhou Medical University, Baixiang South, Wenzhou, Zhejiang, 325000, China.

Background: Intussusception is among the most common acute abdominal emergencies in infancy, but only some cases need surgical reduction. This study assessed the clinical characteristics of patients undergoing surgical reduction of intussusception.

Methods: This retrospective study reviewed 568 pediatric patients who failed air-enema reduction and underwent surgical reduction for intussusception in our department between 2008 and 2017. Read More

View Article and Full-Text PDF
November 2019

[Intestinal intussusception in adults, atypical and potentially dramatic].

Rev Med Liege 2019 Feb;74(2):68-70

Service de Chirurgie abdominale, sénologique, endocrine et Transplantation, CHU Liège, Belgique.

Intestinal intussusception is essentially a pediatric pathology that remains rare in adults. We report the case of a 67-year-old patient hospitalized for persistent painful abdominal attacks despite the completion of an almost exhaustive assessment. An entero-scanner will finally show the presence of ileal-ileal intussusception, which is the site of a monoclonal plasmablastic lymphoma and responsible for an upstream sub-obstruction. Read More

View Article and Full-Text PDF
February 2019

Point-of-Care Ultrasound in Pediatric Diagnostic Dilemmas: Two Atypical Presentations of Intussusception.

Pediatr Emerg Care 2019 Jan;35(1):72-74

Department of Radiology, Faculty of Medicine, University of Toronto.

Diagnostic dilemmas are ubiquitous in pediatric emergency medicine because of the varied and often insidious presentations of many pediatric conditions. Point-of-care ultrasound (POCUS) in emergency departments is being used for some of these diagnostic challenges and can often provide rapid and valuable information to supplement a physician's clinical assessment. Intussusception is a pediatric condition that may be challenging to recognize because of its subtle and varied presenting symptoms. Read More

View Article and Full-Text PDF
January 2019

Bowel intussusception in adults: a report of three interesting cases and current trends for diagnosis and surgical management.

Hippokratia 2019 Jan-Mar;23(1):37-41

1 Propaedeutic Surgical Department, AHEPA University General Hospital of Thessaloniki, Thessaloniki, Greece.

Background: Bowel intussusception in adults remains a rare and constant diagnostic challenge for surgeons. It has an incidence of around 2-3 new cases per million per year, and its primary cause is benign or malignant neoplasms of the small bowel and colon. This report aims to outline the importance of high clinical suspicion regarding intussusception in adults presenting with abdominal pain in the emergency department. Read More

View Article and Full-Text PDF

Hemolytic uremic syndrome: differential diagnosis with the onset of inflammatory bowel diseases.

Acta Biomed 2018 12 17;89(9-S):153-157. Epub 2018 Dec 17.

Pediatric Emergency Unit, University Hospital of Parma, Maternal and Infant Department, Parma, Italy.

Background: Shiga-toxin Escherichia coli productor (STEC) provokes frequently an important intestinal damage that may be considered in differential diagnosis with the onset of Inflammatory Bowel Disease (IBD). The aim of this work is to review in the current literature about Hemolytic Uremic Syndrome (HUS) and IBD symptoms at the onset, comparing the clinical presentation and symptoms, as the timing of diagnosis and of the correct treatment of both these conditions is a fundamental prognostic factor. A focus is made about the association between typical or atypical HUS and IBD and a possible renal involvement in patient with IBD (IgA-nephropathy). Read More

View Article and Full-Text PDF
December 2018

Gastrointestinal hemorrhage caused by adult intussusception secondary to small intestinal tumors: Two case reports.

Medicine (Baltimore) 2018 Aug;97(34):e12053

Department of Gastrointestinal Colorectal and Anal Surgery, China-Japan Union Hospital of Jilin University, Changchun, China.

Rationale: Adult intussusception is rarely observed, and the clinical manifestations are very atypical. The most common symptom is abdominal pain, while the incidence of hematochezia is relatively low. We report two cases of adult intussusception secondary to small intestinal tumors with gastrointestinal hemorrhage as the main symptom. Read More

View Article and Full-Text PDF

An Exceptional Case of Ileocolic Intussusception Secondary to Burkitt's Lymphoma: What Variations Are There in the Presentation and Management of Those Patients Who Approach Adolescence?

Case Rep Surg 2018 20;2018:6251321. Epub 2018 Jun 20.

Cairns Hospital, Cairns, QLD, Australia.

Intussusception is a common cause of abdominal pain among the paediatric population with up to 10% of cases occurring secondary to a pathological lead point. Burkitt's lymphoma (BL) is a highly malignant and rapidly growing B-cell neoplasm which in extremely rare cases can present as intussusception. We report a case in an otherwise healthy 15-year-old male who presented with atypical abdominal pain. Read More

View Article and Full-Text PDF

Gastrointestinal involvement in Kawasaki disease: a case report.

Cardiol Young 2018 Aug 2;28(8):1070-1073. Epub 2018 Jul 2.

3Department of Pediatric Cardiology,Ankara Yuksek İhtisas Education and Research Hospital,Ankara,Turkey.

Kawasaki disease is an acute febrile multisystem vasculitis. The term Incomplete Kawasaki disease is used in the presence of a minimum of two diagnostic criteria of clinical Kawasaki syndrome accompanied by at least 5 days of fever, the absence of any other reasons characterising the disease, and the presence of severe systemic inflammation findings. Gastrointestinal symptoms, notably diarrhoea, abdominal pain, and vomiting, frequently occur, and elevated serum aminotransferases, gallbladder hydrops, and rarely other forms of gastrointestinal involvement such as ischaemic colitis, intussusception, hepatic necrosis, splenic infarct, intestinal pseudo-obstruction, colitis, and colon oedema are also reported. Read More

View Article and Full-Text PDF

Cecal duplication: A mimicker of intussusception: A case report and review.

Ann Med Surg (Lond) 2018 Jul 31;31:17-19. Epub 2018 May 31.

Department of Paediatric Surgery, KEM Hospital, Mumbai, India.

Introduction: is a rare congenital anomaly and to the best of our knowledge, only 43 cases have been reported in the literature till date. Most of them present within the first year of life. They can mimic intussusception, and the delay in diagnosis can lead to high morbidity. Read More

View Article and Full-Text PDF

Meckel's Diverticulitis Masquerading as Acute Pancreatitis: A Diagnostic Dilemma.

Indian J Crit Care Med 2017 Nov;21(11):789-792

Department of Pediatrics, CSI Kalyani Hospital, Chennai, Tamil Nadu, India.

Meckel's diverticulum is a remnant of the proximal part of the vitellointestinal duct and is the most common congenital anomaly of the gastrointestinal tract. It may either remain asymptomatic or present with myriad of clinical presentations. Gastrointestinal bleeding is the most common presentation in children whereas it is intestinal obstruction in the case of adults. Read More

View Article and Full-Text PDF
November 2017

Complete transmural migration of a retained surgical sponge: an atypical case in image mimicking intussusception: A case report.

Medicine (Baltimore) 2017 Oct;96(42):e8246

Department of General Surgery, Suzhou Municipal Hospital (North Campus), Suzhou Department of Gastrointestinal Surgery, Clinical Medical College of Yangzhou University (the Northern Jiangsu People's Hospital), Yangzhou Medical Research Center, Clinical Medical College of Yangzhou University (the Northern Jiangsu People's Hospital), Yangzhou, Jiangsu Province, China.

Rationale: Intraluminal migration of a retained surgical sponge causing intestinal obstruction and fistula is extremely rare occurrence.

Patient Concerns: A case of a 35-year-old male, who complaining a diffuse abdominal pain beginning three days earlier. He also complained of occasional vomiting, nonspecific abdominal pain, and an unintentional 15 kg weight loss during the past 2 years. Read More

View Article and Full-Text PDF
October 2017

Unusual ultrasound appearance of small bowel intussusception and secondary bowel obstruction in a child with Peutz-Jeghers syndrome.

Clin Imaging 2017 May - Jun;43:136-139. Epub 2017 Mar 9.

Seattle Children's Hospital, Department of Radiology, University of Washington, Seattle, WA, United States. Electronic address:

Small bowel intussusception (SBI) in pediatric patients resolves spontaneously in the majority of cases. Pathologic small bowel intussusception with a lead point is rare in children. Ultrasound (US) is the preferred initial imaging study for the diagnosis of intussusception. Read More

View Article and Full-Text PDF
November 2017

[Intestinal intussusception secondary to myofibroblastic tumor in an elderly patient. Case report].

Cir Cir 2017 Sep - Oct;85(5):444-448. Epub 2016 Aug 24.

Servicio de Cirugía General, Hospital Dr. Valentín Gómez Farías, Zapopan, Jalisco, México. Electronic address:

Background: Intussusception is defined as a segment of the gastrointestinal tract and mesentery within the lumen of an adjacent segment. It is a rare condition in adults that can occur anywhere in the gastrointestinal tract from the stomach to the rectum. Only 5% of all intussusceptions are presented in adults, and in 1-5% of all cases of intestinal obstruction. Read More

View Article and Full-Text PDF

Atypical Presentation of Acute Lymphoblastic Leukemia in a 7 Year Old Child.

Indian J Hematol Blood Transfus 2016 Jun 13;32(Suppl 1):8-10. Epub 2015 Jan 13.

Department of Medical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, 605006 India.

Seven year child, who had intussusception 4 month before, readmitted for fever and walking difficulty. On examination, child had mild pallor and kyphosis of the spine but no organomegaly, lymphadenopathy or bone pain . Further evaluation revealed hypercalcemia, diffuse osteoporosis with vertebral fracture. Read More

View Article and Full-Text PDF

Lumbar Swelling as the Unusual Presentation of Henoch-Schonlein Purpura in a Child.

Balkan Med J 2016 May 1;33(3):360-2. Epub 2016 May 1.

Department of Radiology, Haseki Training and Research Hospital, İstanbul, Turkey.

Background: Henoch-Schönlein Purpura (HSP) is a systemic hypersensitivity disease of unknown cause that is characterized by a purpuric rash and systemic manifestations, such as colicky abdominal pain, polyarthralgia, and acute glomerulonephritis. Common complications of HSP that lead to surgical intervention include intussusception, perforation, necrosis, and massive gastrointestinal bleeding. Unusual clinical manifestations of HSP may include edema of the scrotum and eyes. Read More

View Article and Full-Text PDF

Celiac disease in toddler with atypical onset. Case report.

Med Ultrason 2016 Mar;18(1):116-9

Pathology Department, "Iuliu Haţieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania.

Celiac disease is a chronic immune-mediated disorder induced in genetically susceptible individuals after ingestion of gluten proteins. An early diagnosis is of highest importance. Ultrasound might show small-bowel intussusception. Read More

View Article and Full-Text PDF