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Case Reports
. 2024 Jul 1;16(7):e63587.
doi: 10.7759/cureus.63587. eCollection 2024 Jul.

Adult Jejunojejunal Intussusception Caused by Small Bowel Leiomyoma

Samuel G Romanini  1 , Jose C Ardengh  2   3
Affiliations
Case Reports

Adult Jejunojejunal Intussusception Caused by Small Bowel Leiomyoma

Samuel G Romanini et al. Cureus. .

Abstract

This article reports a case of a patient with intestinal obstruction admitted to the hospital whose presumed diagnosis by CT was jejunojejunal intussusception. The patient underwent exploratory laparotomy with an enterectomy of the invaginated segment. The histopathological and immunohistochemical results of the surgical specimen confirmed the presence of a small bowel leiomyoma. This case highlights the importance of a detailed clinical evaluation of patients with an intestinal obstruction who seek emergency care. The cause of intestinal obstruction is a diagnostic challenge due to the numerous pathologies that can lead to the development of the condition. Guided anamnesis, detailed physical examinations, and accurate subsidiary exams that do not delay diagnosis are the cornerstones of emergency room care. Knowing the ideal time to refer the patient to the operating room requires knowledge and practice. The patient reported in this article with jejunal leiomyoma as a cause of intestinal intussusception is surprising for its rarity and illustrates the range of pathologies that can lead to intestinal obstruction.

Keywords: accurate diagnosis; acute abdomen; intestinal invagination; intestine intussusception; intestine obstruction; jejunojejunal intussusception; leiomyoma; surgery; treatment choices.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. (A) Axial abdominal CT showing the target signal (red arrow) with significant liquid distension of the stomach (white arrow). (B) Coronal view of the abdominal CT with a jejunojejunal intussusception on the right side of the abdomen (red arrow) and the enormous distension of the stomach and duodenum (white arrow)
CT: computed tomography
Figure 2
Figure 2. Intraoperative view of the (A) jejunojejunal intussusception (white arrow). (B) After the maneuver, the presence of a tumor in the jejunal wall was noted (white arrow)
Figure 3
Figure 3. (A and B) This round lesion had a hardened consistency and a brown color and functioned as an intussusception lead point (red arrow)
See this image and copyright information in PMC

References

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