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Case Reports
. 2022 Jun 10;93(S1):e2022117.
doi: 10.23750/abm.v93iS1.11492.

Intussusception of the bowel in adult women due to bulky inflammatory fibroid polyp treated in emergency. A case report

Alessio Rollo  1 , Pietro Lugani  2 , Lorenzo Casali  3 , Filippo Montali  4 , Lucia Scaramuzza  5 , Giorgia Gandolfi  6 , Elena Thai  7 , Renato Costi  8
Affiliations
Case Reports

Intussusception of the bowel in adult women due to bulky inflammatory fibroid polyp treated in emergency. A case report

Alessio Rollo et al. Acta Biomed. .

Abstract

Introduction: Intussusception represents a rare form of bowel obstruction in the adult, which is defined as the telescoping of a proximal segment of the gastrointestinal tract into the lumen of the adjacent distal segment of the GI tract Case Report: We report the case of a 50-year-old woman was admitted in our hospital with acute bowel obstruction. CT showed intestinal occlusion secondary to intussusception. the patient underwent emergency surgery. Surgery confirmed intussusception at the level of the distal ileum (about 30 cm from the ileocecal valve) due to a 3-4 oval mass of hard consistency that appeared to be suspicious for GIST. Was performed a resection of the ileal segment involved associated with oncologically radical lymphadenectomy. The histological examination reported benign ileal mesenchymal neoformation compatible with inflammatory fibroid polyp. Patient had a regular course Discussion: In adults, 90% of invaginations manifest as a result of an organic lesion caused by benign or malignant tumors. The clinical presentation in adults is generally chronic or nonspecific. The emergence of acute symptoms due to complete intestinal obstruction occours in fewer than 20% of patients. Abdominal computed tomography (CT) is the most sensitive radiologic method to confirm intussusception. As many cases are secondary to organic pathologies with malignant potential, surgical resection of the affected bowel segment with oncological procedures is the primary method of treatment Conclusion: Due to the fact that adult intussusception is often frequently associated with organic lesions, surgical intervention is necessary. Treatment usually requires formal resection of the involved bowel segment. (www.actabiomedica.it).

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Conflict of interest statement

Each author declares that she or he has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article

Figures

Figure 1.
Figure 1.
Abdominal X ray
Figure 2.
Figure 2.
Abdominal CT scan: axial view
Figure 3.
Figure 3.
Abdominal CT scan: coronal view
Figure 4.
Figure 4.
Intraoperative image: Intussusception of the bowel
Figure 5.
Figure 5.
Intraoperative image: extraluminal aspect of the tumor
Figure 6.
Figure 6.
Intraoperative image : extraluminal aspect of the tumor
Figure 7.
Figure 7.
Pathology report: extraluminal aspect of the tumor
Figure 8.
Figure 8.
Pathology report: endoluminal aspect of the tumor
See this image and copyright information in PMC

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