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Adult ileocolic intussusception caused by a terminal ileal lipoma: A case report 认领 引用
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作者 Jin-Xing Fan Yu-Peng Jiang Min-Quan Yao 《World Journal of Radiology》 2026年第4期55-61,共7页
BACKGROUND Adult intussusception is a rare clinical condition.Unlike in pediatric cases,adult intussusception often has a definable lead point,with benign or malignant tumors being the most common etiology.Small intes... BACKGROUND Adult intussusception is a rare clinical condition.Unlike in pediatric cases,adult intussusception often has a definable lead point,with benign or malignant tumors being the most common etiology.Small intestinal lipoma is a rare cause of adult intussusception.It typically presents with non-specific symptoms and an insidious onset,frequently leading to misdiagnosis or discovery only during emergency surgery.Abdominal computed tomography(CT)plays a pivotal role in preoperative diagnosis,yet its specific findings in lipoma-induced intussusception warrant further emphasis.CASE SUMMARY A 30-year-old man presented with a one-week history of abdominal pain and distension,followed by dark red bloody stools for four days.Physical examination revealed abdominal distension and right lower quadrant tenderness without rebound tenderness.Laboratory tests showed mildly elevated inflammatory markers.Abdominal CT revealed ileocolic intussusception with a welldefined lesion at the lead point demonstrating homogeneous fat attenuation(approximately-53 Hounsfield units),a finding pathognomonic for a lipoma.Emergency exploratory laparotomy confirmed an irreducible ileal intussusception into the cecum and ascending colon.An ileocecal resection with side-to-side anastomosis was performed.Pathological examination of the resected specimen confirmed a 4.0 cm×3.0 cm×2.5 cm submucosal ileal lipoma with overlying mucosal erosion.The patient recovered well after surgery despite a minor wound infection,and no recurrence was observed during the five-month follow-up period.CONCLUSION CT is the modality of choice for diagnosing ileal lipoma-induced intussusception,as it can definitively identify the pathognomonic fat-density lead point.Surgical resection remains the definitive treatment,yielding good outcomes. 展开更多
关键词 Ileal lipoma Small intestinal lipoma Intussusception Abdominal computed tomography Case report
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Complete appendiceal intussusception and appendiceal mucinous tumor:A case report and review of literature 认领 引用
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作者 Qi Guo Han-Ying Lu +3 位作者 Hua Lyu Hao Tian Qiang Zhao Yang-Chun Zheng 《World Journal of Gastrointestinal Surgery》 SCIE 2025年第9期439-447,共9页
BACKGROUND Complete appendiceal intussusception(CAI)coexisting with appendiceal tumor represents an exceptionally rare clinical tumor.This study presented a retrospective analysis of a case involving CAI complicated b... BACKGROUND Complete appendiceal intussusception(CAI)coexisting with appendiceal tumor represents an exceptionally rare clinical tumor.This study presented a retrospective analysis of a case involving CAI complicated by appendiceal mucinous tumor,supplemented by a review of 10 previously reported cases to distill diagnostic and therapeutic insights.CASE SUMMARY A 74-year-old male patient presented with abdominal pain.Abdominal contrastenhanced computed tomography(CECT)initially suggested a colonic tumor with intussusception.Colonoscopy identified a mass in the colon 60 cm from the anus.Intraoperative exploration confirmed CAI secondary to an appendiceal neoplasm.The patient underwent laparoscopic right hemicolectomy with regional lymphadenectomy under general anesthesia.Postoperative recovery was uneventful,and the patient was discharged 9 days post-surgery.Twelve-month follow-up revealed no evidence of recurrence or metastasis.CONCLUSION Plain abdominal computed tomography may underestimate the presence of CAI and appendiceal mucinous tumor,whereas CECT significantly improves diagnostic accuracy.Preoperative suspicion of appendiceal malignancy should be entertained in cases of CAI.In the absence of definitive biopsy results,intraoperative frozen section analysis is recommended to guide radical resection. 展开更多
关键词 Complete appendiceal intussusception Appendiceal mucinous adenocarcinoma Right hemicolectomy Laparoscope overall Case report
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Adult ileo cecal intussusception as a manifestation of colon carcinoma:A case report 认领 引用
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作者 Abdihakim Elmi Abdishakur Mohamed Amiin Adan Ahmed 《World Journal of Clinical Cases》 2025年第22期86-92,共7页
BACKGROUND Intussusception is the invagination of a segment of the bowel into an adjacent segment.It is the most common cause of intestinal obstruction in children,but in adults,it is rare,accounting for 1%of all inte... BACKGROUND Intussusception is the invagination of a segment of the bowel into an adjacent segment.It is the most common cause of intestinal obstruction in children,but in adults,it is rare,accounting for 1%of all intestinal obstructions and 5%of all intussusceptions,with malignancy being the most common cause.In the past,it was typically diagnosed intraoperatively.However,with the availability of computed tomography for abdominal imaging,recognizing the condition's signs has become crucial.Surgical intervention is essential for managing neoplastic cases and their complications.CASE SUMMARY A 45-year-old female presented with severe abdominal pain encompassing her entire abdomen,abdominal distension,vomiting,and persistent constipation.Over the past two months,she has also experienced considerable weight loss.After an initial history review,examination,and imaging investigations,the patient was diagnosed with ileo cecal intussusception resulting from a colo rectal mass located in the cecum and ascending colon.This condition was surgically managed through an extended right hemi colectomy.CONCLUSION Intussusception is uncommon in adults,but it should be considered in patients with intestinal obstruction.Surgical intervention is essential. 展开更多
关键词 Adult Ileocecal Colorectal cancer Intussusception Colon carcinoma Case report
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Pediatric case of colonic perivascular epithelioid cell tumor complicated with intussusception and anal incarceration:A case report 认领 引用 被引量：2
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作者 Luan Kou Wen-Wen Zheng +5 位作者 Li Jia Xiao-Li Wang Ji-Hai Zhou Jiao-Rong Hao Zhu Liu Feng-Yu Gao 《World Journal of Gastrointestinal Oncology》 SCIE 2022年第7期1348-1355,共8页
BACKGROUND Perivascular epithelioid cell tumor(PEComa)represents a group of rare mesenchymal tumors.PEComa can occur in many organs but is rare in the colorectum,especially in children.Furthermore,PEComa is a rare cau... BACKGROUND Perivascular epithelioid cell tumor(PEComa)represents a group of rare mesenchymal tumors.PEComa can occur in many organs but is rare in the colorectum,especially in children.Furthermore,PEComa is a rare cause of intussusception,the telescoping of a segment of the gastrointestinal tract into an adjacent one.We describe a rare case of pediatric PEComa complicated with intussusception and anal incarceration,and conduct a review of the current literature.CASE SUMMARY A 12-year-old girl presented with abdominal pain and abdominal ultrasound suggested intussusception.Endoscopic direct-vision intussusception treatment and colonoscopy was performed.A spherical tumor was discovered in the transverse colon and removed by surgery.Postoperative pathologic analyses revealed that the tumor volume was 5.0 cm×4.5 cm×3.0 cm and the tumor tissue was located in the submucosa of the colon,arranged in an alveolar pattern.The cell morphology was regular,no neoplastic necrosis was observed,and nuclear fission was rare.The immunohistochemical staining results were as follows:Human melanoma black 45(HMB 45)(+),cluster of differentiation 31(CD31)(+),cytokeratin(-),melanoma-associated antigen recognized by T cells(-),smooth muscle actin(-),molleya(-),desmin(-),S-100(-),CD117(-),and Ki67(positive rate in hot spot<5%).Combined with the results of pathology and immunohistochemistry,we diagnosed the tumor as PEComa.Postoperative recovery was good at the 4 mo follow-up.CONCLUSION The diagnosis of PEComa mainly depends on pathology and immunohistochemistry.Radical resection is the preferred treatment method. 展开更多
关键词 Perivascular epithelioid cell tumor Colonic Intussusception Anal incarceration Endoscopic direct-vision intussusception treatment Case report
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Intussusception of the bowel in adults:A review 认领 引用 被引量：51
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作者 Athanasios Marinis Anneza Yiallourou +4 位作者 Lazaros Samanides Nikolaos Dafnios Georgios Anastasopoulos Ioannis Vassiliou Theodosios Theodosopoulos 《World Journal of Gastroenterology》 SCIE CAS 2009年第4期407-411,共5页
Intussusception of the bowel is defined as the telescop-ing of a proximal segment of the gastrointestinal tract within the lumen of the adjacent segment.This condi-tion is frequent in children and presents with the cl... Intussusception of the bowel is defined as the telescop-ing of a proximal segment of the gastrointestinal tract within the lumen of the adjacent segment.This condi-tion is frequent in children and presents with the classic triad of cramping abdominal pain,bloody diarrhea and a palpable tender mass.However,bowel intussusception in adults is considered a rare condition,accounting for 5% of all cases of intussusceptions and almost 1%-5%of bowel obstruction.Eight to twenty percent of cases are idiopathic,without a lead point lesion.Secondary intus-susception is caused by organic lesions,such as inflam-matory bowel disease,postoperative adhesions,Meckel's diverticulum,benign and malignant lesions,metastatic neoplasms or even iatrogenically,due to the presence of intestinal tubes,jejunostomy feeding tubes or after gas-tric surgery.Computed tomography is the most sensitive diagnostic modality and can distinguish between intus-susceptions with and without a lead point.Surgery is the definitive treatment of adult intussusceptions.Formal bowel resection with oncological principles is followed for every case where a malignancy is suspected.Reduction of the intussuscepted bowel is considered safe for benign lesions in order to limit the extent of resection or to avoid the short bowel syndrome in certain circumstances. 展开更多
关键词 Intussusception Intestinal invagination Adult Bowel obstruction Computed tomography Ultra-sonography Surgery
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Adult intussusception:A retrospective review of 41 cases 认领 引用 被引量：26
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作者 Ning Wang Xing-Yu Cui +4 位作者 Yu Liu Jin Long Yuan-Hong Xu Ren-Xuan Guo Ke-Jian Guo 《World Journal of Gastroenterology》 SCIE CAS 2009年第26期3303-3308,共6页
AIM:To optimize the preoperative diagnosis and surgical management of adult intussusception (AI).METHODS:A retrospective review of the clinical features,diagnosis,management and pathology 41 adult patients with postop... AIM:To optimize the preoperative diagnosis and surgical management of adult intussusception (AI).METHODS:A retrospective review of the clinical features,diagnosis,management and pathology 41 adult patients with postoperative diagnoses of intussusception was conducted.RESULTS:Forty-one patients with 44 intussusceptions were operated on,24.4% had acute symptoms,24.4% had subacute symptoms,and 51.2% had chronic symptoms.70.7% of the patients presented with intestinal obstruction.There were 20 enteric,15 ileocolic,eight colocolonic and one sigmoidorectal intussusceptions.65.9% of intussusceptions were diagnosed preoperatively using a computed tomography (CT) scan (90.5% accurate) and ultrasonography (60.0% accurate,rising to 91.7% for patients who had a palpable abdominal mass).Coloscopy located the occupying lesions of the lead point of ileocolic,colocolonic and sigmoidorectal intussusceptions.Four intussusceptions in three patients were simply reduced.Twenty-one patients underwent resection after primary reduction.There was no mortality and anastomosis leakage perioperatively.Except for one patient with multiple small bowel adenomas,which recurred 5 mo after surgery,no patients were recurrent within 6 mo.Pathologically,54.5% of the intussusceptions had a tumor,of which 27.3% were malignant.9.1% comprised nontumorous polyps.Four intussusceptions had a gastrojejunostomy with intestinal intubation,and four intussusceptions had no organic lesion.CONCLUSION:CT is the most effective and accurate diagnostic technique.Colonoscopy can detect most lead point lesions of non-enteric intussusceptions.Intestinal intubation should be avoided. 展开更多
关键词 Adult intussusception Diagnosis Management Computed tomography scan Intestinal intubation
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Stapled transanal rectal resection for obstructed defecation syndrome associated with rectocele and rectal intussusception 认领 引用 被引量：24
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作者 Zhang, Bin Ding, Jian-Hua +2 位作者 Yin, Shu-Hui Zhang, Meng Zhao, Ke 《World Journal of Gastroenterology》 SCIE CAS 2010年第20期2542-2548,共7页
AIM:To evaluate the safety and efficacy of stapled transanal rectal resection(STARR),and to analyze the outcome of the patients 12-mo after the operation.METHODS:From May 2007 to October 2008,50 female patients with r... AIM:To evaluate the safety and efficacy of stapled transanal rectal resection(STARR),and to analyze the outcome of the patients 12-mo after the operation.METHODS:From May 2007 to October 2008,50 female patients with rectocele and/or rectal intussusception underwent STARR.The preoperative status,perioperative and postoperative complications at baseline,3,6 and 12-mo were assessed.Data were collected prospectively from standardized questionnaires for the assessment of constipation[constipation scoring system,Longo’s obstructed defecation syndrome(ODS)score system,symptom severity score],patient satisfaction (visual analogue scale),and quality of life(Patient Assessment of Constipation-Quality of Life Questionnaire).RESULTS:At a 12-mo follow-up,significant improvement in the constipation scoring system,ODS score system,symptom severity score,visual analog scale and quality of life(P<0.0001)was observed.The symptoms of constipation improved in 90%of patients at 12 mo after surgery.The self-reported definitive outcome was excellent in 15(30%)patients,fairly good in 8(16%),good in 22(44%),and poor in 5(10%).CONCLUSION:STARR can be performed safely without major morbidity.Moreover,the procedure seems to be effective for patients with obstructed defecation associated with symptomatic rectocele and rectal intussusception. 展开更多
关键词 Stapled transanal rectal resection Obstructed defecation syndrome Rectocele Rectal intussusception
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Gastroduodenal intussusception due to gastric schwannoma treated by billroth Ⅱ distal gastrectomy:One case report 认领 引用 被引量：9
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作者 Jia-Hua Yang Min Zhang +3 位作者 Zhi-Hua Zhao Yu Shu Jun Hong Yi-Jun Cao 《World Journal of Gastroenterology》 SCIE CAS 2015年第7期2225-2228,共4页
Schwannomas are rarely observed in the gastrointestinal tract.The most common symptoms of a gastric schwannoma are abdominal pain or dyspepsia,gastrointestinal bleeding,and an abdominal mass.Many gastric schwannomas a... Schwannomas are rarely observed in the gastrointestinal tract.The most common symptoms of a gastric schwannoma are abdominal pain or dyspepsia,gastrointestinal bleeding,and an abdominal mass.Many gastric schwannomas are asymptomatic and are discovered incidentally or at postmortem.The diagnosis of a schwannoma is based on immunohistochemical positivity for S-100 protein.Wepresent a case report of a rare complication of gastric schwannoma causing gastroduodenal intussusception that was successfully managed by a BillrothⅡdistal gastrectomy.In this rare case,the patient had intermittent,colicky abdominal pain,nausea,and vomiting for over 4wk accompanied by a weight loss.A diagnosis of gastric intussusception was made by computed tomography.A BillrothⅡdistal gastrectomy was then performed,and complete en bloc removal(R0 resection)was achieved.Pathology confirmed a gastric schwannoma through positive immunohistochemical staining for S-100 protein. 展开更多
关键词 Gastroduodenal intussusception Gastric schwannoma
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Gastrointestinal stromal tumor causing small bowel intussusception in a patient with Crohn’s disease 认领 引用 被引量：8
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作者 George E Theodoropoulos Dimitrios Linardoutsos +4 位作者 Dimitrios Tsamis Paraskevas Stamopoulos Dimitrios Giannopoulos Flora Zagouri Nikolaos V Michalopoulos 《World Journal of Gastroenterology》 SCIE CAS 2009年第41期5224-5227,共4页
We report a case of jejunoileal intussusception in a 42-year-old patient with Crohn's disease caused by a gastrointestinal stromal tumor. The patient complained of vague diffuse abdominal pain for a period of 4 mo... We report a case of jejunoileal intussusception in a 42-year-old patient with Crohn's disease caused by a gastrointestinal stromal tumor. The patient complained of vague diffuse abdominal pain for a period of 4 mo. Intussusception was suspected at computer tomography and magnetic resonance imaging scans. Segmental resection of the small intestine was performed. Pathological examination of the surgical specimen revealed a gastrointestinal stromal tumor as well as aphthous ulcerations and areas of inflammation, which were characteristic of Crohn's disease. This is the f irst report of small bowel intussusception due to a gastrointestinal stromal tumor coexisting with Crohn's disease. 展开更多
关键词 Gastrointestinal stromal tumor Crohn＇s disease Intussusception
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Clinical observation of loupe-assisted intussusception vasoepididymostomy in the treatment of obstructive azoospermia(analysis of 49 case reports) 认领 引用 被引量：5
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作者 Guo-Xi Zhang Wen-Jun Bai +2 位作者 Ke-Xin Xu Xiao-Feng Wang Ji-Chuan Zhu 《Asian Journal of Andrology》 SCIE CAS 2009年第2期193-199,共7页
To evaluate the clinical outcomes of loupe-assisted intussusception vasoepididymostomy(VE)in the treatment of epididymal obstructive azoospermia(EOA),we retrospectively analyzed data from 49 patients with EOA who unde... To evaluate the clinical outcomes of loupe-assisted intussusception vasoepididymostomy(VE)in the treatment of epididymal obstructive azoospermia(EOA),we retrospectively analyzed data from 49 patients with EOA who underwent two-suture longitudinal intussusception vasoepididymostomy(LIVE)between 2000 and 2007.The data included the surgical method,postoperative motile sperm count per ejaculation,percentage of progressive motile sperm and patency and pregnancy outcomes.There were a total of 49 men undergoing scrotal exploration,and epididymal obstruction was found in all cases.Bilateral or unilateral anastomoses were performed in 40 and 6 men,respectively.The postoperative courses of 42 patients were followed up for more than 6 months,and the courses of 38 patients were followed up for more than 1 year.The overall patency and pregnancy rates were 71.4%and 26.3%,respectively.Moreover,progressive motile sperm was more frequently present in those patients who had undergone anastomosis at cauda than at corpus or caput.Pregnancy was achieved only in those patients who had undergone anastomosis at least on one side of the cauda epididymis.We think that the loupe-assisted method,with a lower overall cost and a simplified surgical procedure,can achieve satisfactory patency outcomes and pregnancy results.Data from this paper also suggest that paternity outcomes occur more frequently after anastomoses at cauda than at corpus or caput. 展开更多
关键词 epididymal obstructive azoospermia intussusception loupe-assisted vasoepididymostomy
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Primary colonic melanoma presenting as ileocecal intussusception: Case report and literature review 认领 引用 被引量：4
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作者 Wen-xiang Li Ye Wei +8 位作者 Yi Jiang Ya-Lan Liu Li Ren Yun-Shi Zhong Le-Chi Ye De-xiang Zhu Wei-xin Niu xin-Yu Qin Jian-min xu 《World Journal of Gastroenterology》 SCIE CAS 2014年第28期9626-9630,共5页
Primary malignant melanoma originating in the colon is an extremely rare disease.Herein,we report a case of primary melanoma of the ascending colon.The patient was a 57-year-old male who was admitted to our hospital f... Primary malignant melanoma originating in the colon is an extremely rare disease.Herein,we report a case of primary melanoma of the ascending colon.The patient was a 57-year-old male who was admitted to our hospital for persistent abdominal pain and episodes of bloody stool,nausea and vomiting.A computed tomography scan revealed lower intestinal intussusception and enlarged lymph nodes in the abdominal cavity and retroperitoneum.During laparoscopic operation,multiple enlarged lymph nodes were found.Several segments of the proximal small intestine were incarcerated into the distal small intestine,forming an internal hernia and obstruction.The necrotic terminal ileum was invaginated into the ascending cecum.Subsequently,adhesive internal hernia reduction and palliative right hemicolectomy were performed.Pathologic examination of the excised specimen revealed a polypoid mass in the ascending colon.Histological examination showed epithelioid and spindle tumor cells with obvious cytoplasmic melanin deposition.Immunohistochemical staining revealed that the tumor cells were positive for S-100,HmB-45 and vimentin,confirming the diagnosis of melanoma.The patient history and a thorough postoperative investigation excluded the preexistence or coexistence of a primary lesion elsewhere in the skin,anus or oculus or at other sites.Thus,we consider our case to represent an aggressive primary colon melanoma presenting as ileocecal intussusception and intestinal obstruction. 展开更多
关键词 Melanoma Colon Ileocecal intussusception Metastasis S-100 HMB-45 Vimentin
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Anterograde jejunojejunal intussusception resulted in acute efferent loop syndrome after subtotal gastrectomy 认领 引用 被引量：11
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作者 Jung Myun Kwak Jin Kim Sung Ock Suh 《World Journal of Gastroenterology》 SCIE CAS 2010年第27期3472-3474,共3页
Postoperative intussusception is an unusual clinical entity in adults,and is rarely encountered as a complication following gastric surgery.The most common type after gastric surgery is retrograde jejunogastric intuss... Postoperative intussusception is an unusual clinical entity in adults,and is rarely encountered as a complication following gastric surgery.The most common type after gastric surgery is retrograde jejunogastric intussusception,and jejunojejunal intussusception has been rarely reported.We report a case of anterograde jejunojejunal intussusception after radical subtotal gastrectomy with Billroth Ⅱ anastomosis in a 38-year-old Korean woman with early gastric cancer,and include a review of the literature on this unusual complication. 展开更多
关键词 Intussusception Postoperative complications Gastrectomy
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Inverted Meckel’s diverticulum manifested as adult intussusception: Age does not matter 认领 引用 被引量：8
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作者 Eleni Sioka Gregory Christodoulidis +1 位作者 Grigorios Garoufalis Dimitris Zacharoulis 《World Journal of Gastrointestinal Surgery》 2011年第8期123-127,共5页
Adult intussusception due to Meckel’s diverticulum (MD) is an uncommon cause of intestinal obstruction. However, the surgeon should still be suspicious of this condition since the non specific symptoms and the rarity... Adult intussusception due to Meckel’s diverticulum (MD) is an uncommon cause of intestinal obstruction. However, the surgeon should still be suspicious of this condition since the non specific symptoms and the rarity of it make a preoperative diagnosis uncertain. Considering the secondary nature of adult intussusception and the necessity of early surgical intervention to avoid morbidity and mortality, we report two cases of intussusception due to MD in adults. A diverticulectomy using a TA stapler was performed in the first patient. In the second patient extensive fibrosis of the adjacent mesentery and thickening of jejunal mucosa were observed, so a segmental resection of the small bowel or affected ileal part and a hand-sewn anastomosis was performed. The postoperative period along with the long term follow-up was uneventful for both patients. The decision between diverticulectomy vs bowel resection can be based on the intussuscepted bowel condition. Early surgical intervention may ensure a favorable outcome. 展开更多
关键词 Inverted Meckel’s Diverticulum Adult intussusception Emergency surgery Intestinal obstruction Computed tomography Diverticulectomy
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Appendiceal intussusception complicated by adenocarcinoma of the cecum:A case report 认领 引用 被引量：4
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作者 Yu Long Yi-Ning Xiang +3 位作者 Fei Huang Lei Xu Xiao-Yun Li Yun-Huan Zhen 《World Journal of Clinical Cases》 SCIE 2024年第8期1461-1466,共6页
BACKGROUND Appendiceal intussusception is a pathological condition in which the appendix is inverted into the cecum,which may cause symptoms that resemble those of other gastrointestinal disorders and may induce intes... BACKGROUND Appendiceal intussusception is a pathological condition in which the appendix is inverted into the cecum,which may cause symptoms that resemble those of other gastrointestinal disorders and may induce intestinal obstruction.The rarity of this case presentation is the co-occurrence of appendiceal intussusception and cecal adenocarcinoma,a combination that to our knowledge has not previously been reported in the medical literature.This case provides new insights into the complexities of diagnosing and managing overlapping pathologies.CASE SUMMARY A 25-year-old woman presented with persistent periumbilical pain and bloody stools.An initial biopsy showed cecal cancer;however,subsequent colonoscopy and computed tomography findings raised the suspicion of appendiceal intussus-ception,which was later confirmed postoperatively.This unique case was charac-terized by a combination of intussusception and adenocarcinoma of the cecum.The intervention included a laparoscopic right hemicolectomy,which led to the histopathological diagnosis of mucinous adenocarcinoma with appendiceal intussusception.The patient recovered well postoperatively and was advised to initiate adjuvant chemotherapy.This case highlights not only the importance of considering appendiceal intussusception in the differential diagnosis,but also the possibility of appendicitis and the atypical presentation of neoplastic lesions.CONCLUSIONS Physicians should consider the possibility of appendiceal intussusception in cases of atypical appendicitis,particularly when associated with neoplastic presentation. 展开更多
关键词 Appendiceal intussusception Appendicitis Cecal cancer Target signs Misdiagnosis Case report
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Risk factors for intussusception in children with Henoch-Schönlein purpura:A case-control study 认领 引用 被引量：4
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作者 Qian Zhao Yan Yang +2 位作者 Song-Wei He Xin-Tai Wang Chang Liu 《World Journal of Clinical Cases》 SCIE 2021年第22期6244-6253,共10页
BACKGROUND The etiology of Henoch-Schönlein purpura(HSP)with intussusception remains undefined.AIM To investigate the risk factors for intussusception in children with HSP and gastrointestinal(GI)involvement.METH... BACKGROUND The etiology of Henoch-Schönlein purpura(HSP)with intussusception remains undefined.AIM To investigate the risk factors for intussusception in children with HSP and gastrointestinal(GI)involvement.METHODS Sixty children with HSP and concomitant intussusception admitted to the Beijing Children’s Hospital of Capital Medical University between January 2006 and December 2018 were enrolled in this study.One hundred pediatric patients with HSP and GI involvement but without intussusception,admitted to the same hospital during the same period,were randomly selected as a control group.The baseline clinical characteristics of all patients,including sex,age of onset,duration of disease,clinical manifestations,laboratory test results,and treatments provided,were assessed.Univariate and multiple logistic regression analyses were performed to identify possible risk factors.RESULTS The 60 children in the intussusception group comprised 27 girls(45%)and 33 boys(55%)and the 100 children in the non-intussusception group comprised 62 girls(62%)and 38 boys(38%).The median age of all patients were 6 years and 5 mo.Univariate and multiple regression analyses revealed age at onset,not receiving glucocorticoid therapy within 72 h of emergence of GI symptoms,hematochezia,and D-dimer levels as independent risk factors for intussusception in children with HSP(P<0.05).CONCLUSION The four independent risk factors for intussusception in pediatric HSP with GI involvement would be a reference for early prevention and treatment of this potentially fatal disease. 展开更多
关键词 Henoch-Schönlein purpura Intussusception Gastrointestinal Risk factors Children Logistic regression analysis
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Emergency bedside ultrasound for the diagnosis of pediatric intussusception:a retrospective review 认领 引用 被引量：10
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作者 Samuel H.F.Lam Adam Wise Christopher Yenter 《World Journal of Emergency Medicine》 CAS 2014年第4期255-258,共4页
BACKGROUND:Ultrasound diagnosis of pediatric intussusception is feasible with limited operator training.The authors report the test characteristics of bedside ultrasound(BUS)for the diagnosis of pediatric intussuscept... BACKGROUND:Ultrasound diagnosis of pediatric intussusception is feasible with limited operator training.The authors report the test characteristics of bedside ultrasound(BUS)for the diagnosis of pediatric intussusception at a single institution.METHODS:Inclusion criteria were:1)patients of 0–18 years old were seen in the pediatric emergency department(ED)with a clinical presentation suspicious for intussusception;2)BUS was performed to identify intussusception and bedside impression documented in the medical record;3)a"formal"diagnostic study(such as computed tomography,ultrasound,or barium enema)was performed by the radiology department after BUS was completed.Electronic medical record and ED BUS archive were screened for potentially eligible ED visits between January 1st 2009 to October 3rd 2012.These records were then reviewed to identify patients for inclusion in the study.All emergency physicians who performed the BUS had undergone a minimum of 1-hour didactic training on the use of BUS to diagnose pediatric intussusception.RESULTS:A total of 1631 charts were reviewed,with 49 meeting inclusion criteria.Five of those were later excluded for incomplete documentation or lack of saved BUS images.The prevalence of intussusception was 23%.The mean age of the subjects was 31 months.BUS was 100%sensitive(95%CI 66%–100%)and 94%specifi c(95%CI 79%–99%)for detection of pediatric intussusception compared to radiology study results.Positive and negative likelihood ratios were 16.5(95%CI 4.30%–63.21%)and 0(95%CI 0–0)respectively.CONCLUSIONS:BUS is an accurate means of diagnosing acute intussusception in pediatric patients.Further study might be indicated to confi rm such benefi ts. 展开更多
关键词 Emergency medicine Intussusception Ultrasonography
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Adult intussusception caused by cystic lymphangioma of the colon:A rare case report 认领 引用 被引量：7
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作者 Tae Oh Kim Jung Hyun Lee +4 位作者 Gwang Ha Kim Jeong Heo Dae Hwan Kang Geun Am Song Mong Cho 《World Journal of Gastroenterology》 SCIE CAS 2006年第13期2130-2132,共3页
We experienced a case of intussusception caused by cystic lymphangioma of the colon in a 32 years old female who was admitted to our hospital for the chief complaint of bloody stool. In the colonoscopic examination, c... We experienced a case of intussusception caused by cystic lymphangioma of the colon in a 32 years old female who was admitted to our hospital for the chief complaint of bloody stool. In the colonoscopic examination, cystic mass with stalk which had smooth mucosal surface was noted at the descending colon. Abdominal ultrasonography and computed tomography revealed left colon intussusception with a multilocular cystic tumor as a leading point. Emergent operation was performed. On the histopathologic examination, the cystically dilated spaces lined by endothelium and septated by fibrous septa were present. The pathological diagnosis was cystic lymphangioma of the colon. Although intussusception due to lymphangioma in an adult are rare, it should be taken into consideration that it is possible diagnosis. 展开更多
关键词 Cystic lymphangioma of the colon Adult intussusception
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Postoperative intussusception in infants and children:a report of seven cases 认领 引用 被引量：4
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作者 Weiwei Jiang Weibing Tang +1 位作者 Qiming Geng Xiaoqun Xu 《Journal of Biomedical Research》 CAS 2012年第1期66-68,共3页
Postoperative intussusception is an uncommon but serious condition in infants and children.Here,we report seven cases of postoperative intussusception in infants and children who were seen at our institution over the ... Postoperative intussusception is an uncommon but serious condition in infants and children.Here,we report seven cases of postoperative intussusception in infants and children who were seen at our institution over the last 13 y.The patients showed increased nasogastfic drainage,vomiting,lack of stool,and/or growing abdominal dis-tension 2 to 9 d following abdominal surgery.Manual reduction was successful in five cases.In two cases,necro-sis was found and intestinal resection and anastomosis were carded out,No recurrence was observed at six months of follow-up.Postoperative intussusception should be suspected in pediatric surgical patients who showed signs of intestinal obstruction in the early postoperative period. 展开更多
关键词 postoperative intussusception intestinal obstruction infants children
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Laparoscopic approach for managing intussusception in children:Analysis of 65 cases 认领 引用 被引量：4
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作者 Sheng-Miao Li Xiao-Ying Wu +1 位作者 Chun-Fen Luo Lin-Jun Yu 《World Journal of Clinical Cases》 SCIE 2022年第3期830-839,共10页
BACKGROUND Intussusception can be managed by pneumatic reduction,ultrasound-guided hydrostatic reduction,open or laparoscopic surgery,but laparoscopy in such cases remains controversial.AIM To explore the clinical cha... BACKGROUND Intussusception can be managed by pneumatic reduction,ultrasound-guided hydrostatic reduction,open or laparoscopic surgery,but laparoscopy in such cases remains controversial.AIM To explore the clinical characteristics,effectiveness,and complications of surgical reduction for intussusception using laparoscopy in children.METHODS This study was a retrospective case series of pediatric patients with intussusception who underwent surgical reduction by laparoscopy from May 2011 to April 2016 at Taizhou Hospital of Zhejiang Province.Clinical characteristics(operation time,intraoperative blood loss,conversion rate of laparotomy,reasons for conversion,postoperative hospital stay,and adverse events)were described.RESULTS The 65 patients included 45 boys and 20 girls.The average age was 2.3 years(27.5±24.5 mo).Of the 65 patients,61 underwent surgical reduction by laparoscopy after a failed enema reduction of intussusception,and four underwent the procedure directly.All patients were treated successfully and 57(87.7%)patients underwent successful laparoscopic surgery,two of which had a spontaneous reduction.Among the remaining cases,one was converted to open surgery via right upper quadrant incision,and seven required enlarged umbilical incisions.Intestinal resection was performed in 5 patients because of abnormal bowel lesions.There were no complications(intestinal perforations,wound infections,or intestinal adhesions)during the follow-up of 3 years to 8 years.Two patients experienced a recurrence of intussusception;one was resolved with pneumatic reduction,and the other underwent a second laparoscopic surgery.CONCLUSION Laparoscopic approach for pediatric intussusception is feasible and safe.Bowel resection if required can be performed by extending umbilical incision without the conventional laparotomy. 展开更多
关键词 Laparoscopy Intussusception Air reduction Benefits Complications
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Surgery for Cronkhite-Canada syndrome complicated with intussusception:A case report and review of literature 认领 引用 被引量：4
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作者 Jie Dong Tian-Shi Ma +1 位作者 Jiang-Feng Tu You-Wei Chen 《World Journal of Gastrointestinal Surgery》 SCIE 2022年第2期200-210,共11页
BACKGROUND Cronkhite-Canada syndrome(CCS)is a rare nonhereditary disease with a syndrome of multiple gastrointestinal polyps,skin pigmentation,hair loss,and fingernailoenail dystrophy.Intussusception is a serious cond... BACKGROUND Cronkhite-Canada syndrome(CCS)is a rare nonhereditary disease with a syndrome of multiple gastrointestinal polyps,skin pigmentation,hair loss,and fingernailoenail dystrophy.Intussusception is a serious condition with an occurrence rate of 5%in adults,which is mainly caused by intestinal tumors or other intestinal occupations.CASE SUMMARY A 57-year-old woman was admitted to our hospital due to abdominal distension and pain for the past year.Her nausea and vomiting symptoms had been aggravated for the past month.Previous transoral enteroscopy results one year prior showed chronic erosive gastritis protuberans,duodenitis,and jejunitis.She had sparse body hair and brown pigmentation on the skin of her hands and bilateral anterior tibias.The nails of both hands were pale and lacked luster,and the fingernail of her ring finger was longitudinally cracked.Gastroscopy showed extensive diffuse polypoid lump changes in the gastric body and antrum,of 0.5-3 cm in size.Colonoscopy showed multiple polypoid mucosal bulges in the terminal ileum and multiple polyps(0.3-5 cm)throughout the colon.The patient was diagnosed with CCS and underwent partial excision of the polyps,but she refused hormone therapy.One month later,the patient complained of nausea and vomiting,accompanied by abdominal pain and inability to pass gas or stool.Contrast-enhanced computed tomography of the abdomen showed gastrointestinal polyposis and ileocecal intussusception.She underwent stomach and bowel surgery.CONCLUSION CCS,as a rare disease with poor prognosis,should be treated aggressively.Systematic steroids,immunosuppressive agents,and biological agents were not applied;thus,the patient’s symptoms quickly progressed,and intussusception occurred.She had to undergo surgery.Improved compliance may lead to a better prognosis. 展开更多
关键词 Cronkhite-Canada syndrome Intussusception Treatment Prognosis Surgery Case report
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