Article Text
Summary
Intussusception is the invagination of a proximal part of intestine into the adjacent distal part. Reported frequently in children, it forms a rare presentation in adults and can be difficult to diagnose pre operatively. Imaging modalities are increasingly being used for preoperative diagnosis with almost all cases in adults being secondary to an intestinal lesion. Intraoperative management of such lesions in adults was mostly reported to be done by en bloc resection without attempts at reduction, especially where a preoperative diagnosis of a benign lesion was not in hand. We present a case of a female patient with a background of active metastatic lung cancer presenting with symptoms and signs of high intestinal obstruction, found to have a jejunal intussusception on CT scan and managed conservatively initially, followed by definitive surgical management. Literature review of similar presentations, diagnostic and treatment modalities are discussed thereafter.
- gastrointestinal surgery
- small intestine
- radiology
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Footnotes
Contributors SI, ST and MH were involved in the preoperative and postoperative management of the patient. GK and MH performed the surgery. SI conducted the literature review and conceived the write up of the case report. GK was involved in proof reading and finalising the report. ST and MH were involved in organising long-term management plan for the patient.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.