671 results match your criteria point intussusception


Successful treatment of adult cecorectal intussusception caused by cecum cancer with mobile cecum: a case report.

Surg Case Rep 2021 Apr 15;7(1):96. Epub 2021 Apr 15.

Department of Surgery, Kobe Rosai Hospital, 4-2-23 Kagoikedori, Chuouku, Kobe, Hyogo, 651-0053, Japan.

Background: Intussusception occurs when a segment of the bowel (the intussusceptum) telescopes into an adjacent segment (the intussuscipiens). Adult intussusception occurs rarely and often requires surgical resection for its treatment. We describe the case of an adult patient with extremely rare cecorectal intussusception treated using a novel combined transabdominal and trans-anal approach, which has not yet been reported in the literature. Read More

View Article and Full-Text PDF

Ultrasonography-guided hydrostatic reduction of ileocolic intussusception in childhood: First-line option for management of primary and recurrent cases.

Acta Chir Belg 2021 Mar 9:1-14. Epub 2021 Mar 9.

Department of Pediatric Surgery, Ondokuz Mayis University Medical Faculty, Samsun, Turkey.

Objective: To evaluate the results of ultrasonography-guided hydrostatic reduction in primary and recurrent ileo-colic intussusception in children.

Methods: The children (<18 years of age) who were managed for ileocolic intussusception between January 2015 and December 2018 were evaluated retrospectively. Age, gender, presenting complaints, length of the intussuscepted segment, presence of leading point, treatment modalities, recurrence rates and duration of recurrence were evaluated. Read More

View Article and Full-Text PDF

A case report of inverted Meckel's diverticulum.

Radiol Case Rep 2021 May 4;16(5):1118-1122. Epub 2021 Mar 4.

Department of Radiology, Medical University of South Carolina University Medical Center, 25 Courtenay St., Charleston, SC, 29412 USA.

Inverted Meckel's diverticulum is an entity often discovered incidentally or through a clinical evaluation for gastrointestinal bleeding. While rare, inverted Meckel's diverticulum should be considered in the evaluation of a patient presenting with gastrointestinal bleeding, intestinal obstruction, or intussusception. In this case, a 67-year-old female with a remote history of surgically treated breast cancer presents to an urgent care facility with weakness and fatigue. Read More

View Article and Full-Text PDF

Child with dengue haemorrhagic fever complicated by ileocaecal intussusception.

BMJ Case Rep 2021 Mar 16;14(3). Epub 2021 Mar 16.

Department of Paediatrics, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK

Dengue fever is one of the most common neglected tropical diseases with an increasing trend seen in Sri Lanka and many other tropical countries. A number of unusual presentations and complications of dengue fever have been reported, and acute abdomen is one such presentation. However, intussusception as the cause of acute abdomen in a patient with dengue haemorrhagic fever has not been previously reported. Read More

View Article and Full-Text PDF

Ultrasound-guided hydrostatic reduction of ileo-colic intussusception in childhood: first-line management for both primary and recurrent cases.

Acta Chir Belg 2021 Mar 18:1-5. Epub 2021 Mar 18.

Department of Pediatric Surgery, Ondokuz Mayis University Medical Faculty, Samsun, Turkey.

Objective: To evaluate the results of ultrasonography-guided hydrostatic reduction in primary and recurrent ileo-colic intussusception in children.

Methods: The children (<18 years of age) who were managed for ileo-colic intussusception between January 2015 and December 2018 were evaluated retrospectively. Age, gender, presenting complaints, length of the intussuscepted segment, presence of lead point, treatment modalities, recurrence rates and duration of recurrence were evaluated. Read More

View Article and Full-Text PDF

A rare cause of neonatal intussusception. Considering it might reduce the mortality. A case report and a review of the literature.

Int J Pediatr Adolesc Med 2021 Mar 21;8(1):48-51. Epub 2019 Nov 21.

Faculty of Medicine, University of Balamand, Lebanon.

Full-term neonatal intussusception is rare. Cecal duplication as a lead point for intussusception is very rare. We report a case of full-term neonate with ileo-cecal intussusception due to cecal duplication. Read More

View Article and Full-Text PDF

Factors Associated with Failure of Pneumatic Reduction in Children with Ileocolic Intussusception.

Children (Basel) 2021 Feb 12;8(2). Epub 2021 Feb 12.

Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06354, Korea.

Intussusception is one of the most common causes of intestinal obstruction in children. Pneumatic reduction is the treatment of choice and has a high success rate. The most common cause of pneumatic reduction failure is the presence of a pathological leading point. Read More

View Article and Full-Text PDF
February 2021

Primary malignant melanoma of the bowel diagnosed following a bowel intussusception in an adult patient. A case report and review of the literatureport.

Ann Ital Chir 2021 Feb 23;10. Epub 2021 Feb 23.

Aim: Primary small bowel melanoma is a very rare clinical entity with a paucity of publications in literature. Most cases of gastrointestinal melanomas are metastatic lesions arising generally from primary lesion of the skin, eyes, or anus. We present a case of a small bowel intussusception with primary malignant melanoma as lead point and a gluteal melanoma metastasis after four years free from disease. Read More

View Article and Full-Text PDF
February 2021

Point-of-Care Ultrasound May Reduce Misdiagnosis of Pediatric Intussusception.

Front Pediatr 2021 4;9:601492. Epub 2021 Feb 4.

Department of Pediatrics, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.

Intussusception, the most common abdominal emergency in early childhood, is frequently misdiagnosed at initial presentation. The effect of using point-of-care ultrasonography (POCUS) by emergency medicine physicians on pediatric intussusception misdiagnosis rate remains unclear. Here, we summarize outcomes and misdiagnoses before and after training junior and senior physicians on using POCUS for diagnosing intussusception and compared their performance levels. Read More

View Article and Full-Text PDF
February 2021

Untypical symptoms for rather uncommon surgical entities: report of two rare cases of secondary intussusception in children (a case report).

Pan Afr Med J 2020 26;37:277. Epub 2020 Nov 26.

2 Paediatric Surgery Department, Papageorgiou General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Intussusception in infants and children represents a relatively usual challenge for the pediatric surgeon. However, the incidence of lymphoma of the small intestine or inflammatory myofibroblastic tumor, acting as a lead point for invagination, are rather rare. We hereby present two cases of secondary intussusception, with the aforementioned lead points. Read More

View Article and Full-Text PDF
February 2021

Expectant management of traumatic intussusception.

J Surg Case Rep 2021 Jan 31;2021(1):rjaa594. Epub 2021 Jan 31.

Department of Surgery, Cairns Base Hospital, Cairns City, Queensland, Australia.

Mesenteric injuries and traumatic intussusception are rare surgical presentations following blunt trauma, with potentially life-threatening complications. Diagnosis relies on high clinical suspicion and judicious use of imaging in trauma. Literature suggests that these presentations should always be managed operatively for diagnostic clarity, manual reduction of intussusception and, if indicated, resection of involvement segment. Read More

View Article and Full-Text PDF
January 2021

Evaluation of bedside sonography performed by emergency physicians to detect intussusception in children in the emergency department.

Acad Emerg Med 2021 Feb 6. Epub 2021 Feb 6.

Division of Emergency Medicine, CHU Sainte-Justine, Montréal, Quebec, Canada.

Objective: The aim of our study was to evaluate the test characteristics of point-of-care ultrasound (POCUS) performed by emergency physicians with varying levels of experience among children having undergone diagnostic radiology ultrasound for intussusception in a pediatric emergency department (PED).

Methods: This was a subanalysis of a prospective cohort study conducted at a tertiary care PED. The study population was a sample of children younger than 5 years old who required an abdominal ultrasound for suspected intussusception. Read More

View Article and Full-Text PDF
February 2021

Insidious presentation of intussusception with appendicitis.

J Surg Case Rep 2021 Jan 18;2021(1):rjaa578. Epub 2021 Jan 18.

General Surgery, Blacktown Hospital, Blacktown, Australia.

Intussusception in relation to appendicitis is an uncommon occurrence and is rarely described in the literature. We describe a case of diagnostic uncertainty and finding of ileocolic intussusception associated with appendicitis in a 22-year-old male. The patient presented with a history of acute right-sided abdominal pain. Read More

View Article and Full-Text PDF
January 2021

Diagnostic Accuracy of Point-Of-Care Ultrasound for Intussusception Performed by Pediatric Emergency Medicine Physicians.

J Emerg Med 2021 Jan 19. Epub 2021 Jan 19.

Department of Emergency Medicine, Mount Sinai Morningside, New York, New York.

Background: Intussusception (INT) is a common cause of bowel obstruction in young children. Delay in diagnosis can lead to significant morbidity and mortality. There have been several studies evaluating early point-of-care ultrasound (POCUS) in the diagnosis of INT by nonradiologists. Read More

View Article and Full-Text PDF
January 2021

Small bowel intussusception and infestation in a 20-year-old woman.

BMJ Case Rep 2021 Jan 19;14(1). Epub 2021 Jan 19.

Pathology and Laboratory Medicine, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada.

A 20-year-old woman presented with abdominal pain and MRI findings of intussusception of the distal small bowel with no identifiable lead point and no visualisation of the appendix. A diagnostic laparoscopy succeeded in manually reducing the intussusception but was unable to find any candidate lead point. Intraoperatively, hyperperistalsis was observed throughout the small bowel which seemed prone to transient intussusception. Read More

View Article and Full-Text PDF
January 2021

Outcomes of a modified Bresler procedure for the treatment of rectocele with rectal intussusception.

Gastroenterol Rep (Oxf) 2020 Dec 4;8(6):457-464. Epub 2020 Jul 4.

Department of Colorectal Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

Background: Obstructed defecation syndrome (ODS) is a condition that is frequently caused by rectocele and rectal intussusception. This study aimed to evaluate the effectiveness of a modified Bresler procedure for the treatment of ODS. The outcomes of this modified procedure were compared with the stapled transanal rectal resection (STARR) procedure. Read More

View Article and Full-Text PDF
December 2020

A rare case of acute idiopathic colocolic intussusception in an adult patient.

J Surg Case Rep 2020 Dec 31;2020(12):rjaa547. Epub 2020 Dec 31.

Chirurgie, Spital Schwyz, 6430 Schwyz, Schweiz.

Adult intussusception is a rare condition that is frequently associated with malignancy and requires surgical approach. Symptoms are often non-specific and of subacute or chronic character. Therefore, computerized tomography (CT) scan is the most commonly used modality for identifying adult intussusception. Read More

View Article and Full-Text PDF
December 2020

Idiopathic adult intestinal intussusception: a rare cause of an acute surgical abdomen.

J Surg Case Rep 2020 Dec 31;2020(12):rjaa542. Epub 2020 Dec 31.

Department of Surgery, University of California Davis, Sacramento, CA 95817, USA.

Intussusception is uncommon among adults. The condition, which is defined as a telescoping of a proximal portion of the small or large bowel into the lumen of an adjacent segment of bowel, is most commonly seen in children. Among pediatric cases, the majority is benign and treated non-operatively. Read More

View Article and Full-Text PDF
December 2020

Ileocolic intussusception caused by mass-forming fibro-granulation from healed ulcer masquerading as small bowel lipoma.

Clin J Gastroenterol 2021 Apr 6;14(2):522-530. Epub 2021 Jan 6.

Department of Gastroenterology, St. Luke's International Hospital, 9-1 Akashicho, Chuo-ku, Tokyo, 104-8560, Japan.

Small bowel intussusception in adults is rare. Unlike children, adults with intussusception generally have a causative lead point, of which a majority is benign. We report the case of a 55-year-old woman with systemic lupus erythematosus on steroids and nonsteroidal anti-inflammatory drugs who presented with intermittent melena. Read More

View Article and Full-Text PDF

A Hospital-Based Multi-Centric Study to Determine the Clinico-Epidemiological Profile of Intussusception in Children < 2 Years in Rajasthan, India.

Indian J Pediatr 2021 Mar 6;88(Suppl 1):131-137. Epub 2021 Jan 6.

Christian Medical College, Vellore, Tamil Nadu, India.

Objective: To determine the clinical and epidemiological profile of Intussusception in children aged <2 y after introduction of rotavirus vaccine in Universal Immunization Programme of Rajasthan.

Method: This was a hospital-based multi-centric surveillance study conducted at three tertiary care sentinel sites in Rajasthan over a period of 2 y. Children <2 y of age admitted with intussusception as per Brighton's criteria 1 were enrolled. Read More

View Article and Full-Text PDF

PHACES Syndrome with Intestinal Hemangioma Causing Recurrent Intussusceptions: A Case Report and Literature Review of Associated Intestinal Hemangioma.

Oman Med J 2020 Nov 30;35(6):e204. Epub 2020 Nov 30.

Surgery Department, Sultan Qaboos University Hospital, Muscat, Oman.

PHACES syndrome comprises osterior fossa malformations, segmental emangioma, rterial anomalies, ardiac defects, ye anomalies and less commonly, ternal cleft, or supraumbilical raphe. We report a case of PHACES syndrome associated with intestinal hemangioma causing recurrent intussusceptions. A full-term infant female presented at the age of three months with segmental distribution of telangiectatic patch with red swelling involving the right periorbital area, right forehead, and lips. Read More

View Article and Full-Text PDF
November 2020

Heterotopic Gastric Mucosa in the Ileum: A Rare Cause for Intussusception in Adults.

Case Rep Gastroenterol 2020 Sep-Dec;14(3):609-614. Epub 2020 Nov 11.

Department of Laboratory Medicine and Pathology, Hamad Medical Corporation, Doha, Qatar.

Intussusception is the leading cause for intestinal obstruction in children. However, it accounts for only 5% of bowel obstructions in adults. Heterotopic gastric mucosa (HGM) can occur anywhere in the gastrointestinal tract; nevertheless, its occurrence in the small intestine is rare unless associated with remnants of vitelline duct (Meckel's diverticulum). Read More

View Article and Full-Text PDF
November 2020

Intussusception as a rare clinical presentation of a child with type 1 diabetes and diabetic ketoacidosis.

BMJ Case Rep 2020 Dec 9;13(12). Epub 2020 Dec 9.

Department of Pediatrics, Bharati Vidyapeeth Deemed University Medical College, Pune, Maharashtra, India.

Intussusception in children is mainly idiopathic or due to a viral aetiology. Occasionally, pathological lead points like Meckel diverticulum or rarely metabolic causes like hyperglycaemia can result in formation of an intussusception. We describe the case of a boy with diabetic ketoacidosis presenting with abdominal pain. Read More

View Article and Full-Text PDF
December 2020

Multidetector computed tomography diagnosis of small bowel intussusceptions in adults: observations in a 10-year single-center study.

Acta Radiol 2020 Dec 3:284185120973626. Epub 2020 Dec 3.

Department of Gastrointestinal Surgery, Jiangmen Central Hospital, Affiliated Jiangmen Hospital of Sun Yat-Sen University, Jiangmen, Guangdong, PR China.

Background: The etiologies of small bowel intussusception (SBI) in adults are varied.

Purpose: To investigate multidetector computed tomography (MDCT) characteristics in adults with neoplastic and non-neoplastic SBI.

Material And Methods: Clinical data and MDCT images diagnosed with SBI in adults from January 2010 to May 2020 were retrospectively reviewed. Read More

View Article and Full-Text PDF
December 2020

Jejunojejunal intussusception following jejunostomy closure: A case report.

Int J Surg Case Rep 2020 9;76:446-449. Epub 2020 Oct 9.

College of Medicine, University of Zakho, Zakho, Kurdistan Region, Iraq. Electronic address:

Background: Intussusception can occur anywhere in the small and large bowel, ileocolic intussusception is the most common type in adult and there are few reported cases of jejunojejunal intussusception. Here we report a case of jejunojejunal intussusception due to an iatrogenic lead point at the feeding jejunostomy closure site.

Case Presentation: In 2019 we received a 63-year-old female complaining of abdominal pain, constipation, and repeated vomiting for five days. Read More

View Article and Full-Text PDF
October 2020

Adult Mid Ileo-Ileal Intussusception Secondary to Inflammatory Myofibroblastic Tumor (IMT): A Case Report and Literature Review.

Cureus 2020 Oct 11;12(10):e10902. Epub 2020 Oct 11.

Histopathology, Shifa International Hospital, Islamabad, PAK.

The intestinal intussusception as a cause of bowel obstruction in adult is a rare finding and is a heralder for an underlying lesion. This is in stark contrast to intestinal intussusception in pediatric population where the etiology is always a primary or benign condition and thus bears different outcomes. We hereby present a case of a young female adult, without the presence of any significant comorbidity. Read More

View Article and Full-Text PDF
October 2020

A rare case report of a neonatal idiopathic intussusception in a full-term newborn.

Int J Surg Case Rep 2020 22;77:1-4. Epub 2020 Oct 22.

Department of Pediatric Surgery B, Children Hospital Bechir Hamza, 1007, Tunis, Tunisia; University of Tunis El Manar, Tunis, Tunisia.

Introduction: In contrast with the usual idiopathic intussusception appearing in infants, neonatal intussusception in full-term newborns is a rare entity and usually due to an organic lead point lesion. It has a misleading and variable presentation. This manuscript reports a very rare case of neonatal idiopathic intussusception in a full-term male newborn in order to highlight the difficulties in establishing an early diagnosis. Read More

View Article and Full-Text PDF
October 2020

A rare case report of large B cell lymphoma in adult presentation as intussusception.

Clin Pract 2020 Oct 16;10(4):1292. Epub 2020 Oct 16.

Department of General Surgery, Grant Government Medical College and Sir J.J. group of Hospitals, Mumbai, India.

Adult intussusception represents 5% of all intussusceptions. Primary gastro-intestinal lymphoma comprises 1%-4% of all gastro- intestinal malignancies 90% of them are B-cell non-Hodgkin's lymphoma (NHL). Most common NHL is diffuse large B-cell lymphoma accounts for 30-40%. Read More

View Article and Full-Text PDF
October 2020

Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction.

Ann Med Surg (Lond) 2020 Nov 10;59:251-253. Epub 2020 Oct 10.

Department of Pathology, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia.

Background: Adult intussusception is a relatively rare clinical entity. The majority of cases of intussusception in adults are due to a pathologic condition that serves as a lead point and requires surgery. Small bowel intussusception is usually caused by benign or malignant neoplasms appearing at the head of the invagination. Read More

View Article and Full-Text PDF
November 2020

CT diagnosis of appendiceal intussusception in a middle-aged female.

J Radiol Case Rep 2020 Jun 30;14(6):8-14. Epub 2020 Jun 30.

Department of Radiology, Aventura Hospital and Medical Center, Aventura, Fl, USA.

Appendiceal intussusception is rare with an estimated incidence of 0.01%. Although it is infrequently encountered, the few documented cases of this entity have shown it may mimic or indicate an underlying neoplasm when evaluated with colonoscopy. Read More

View Article and Full-Text PDF