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Jejunojejunal intussusception in an adult: a rare presentation of abdominal pain in the emergency department
  1. Ahmed Hasan Yousef Al Zaabi1,2,
  2. Jasmine Abdulla Al Janahi1,
  3. Salwa Najim Alremeithi3 and
  4. Hasan Qayyum1
  1. 1Emergency Department, Shaikh Shakhbout Medical City, Abu Dhabi, Abu Dhabi, UAE
  2. 2Emergency Department, Zayed Military Hospital, Abu Dhabi, Abu Dhabi, UAE
  3. 3Department of Surgery, Shaikh Shakhbout Medical City, Abu Dhabi, Abu Dhabi, UAE
  1. Correspondence to Dr Hasan Qayyum; drqayyum{at}doctors.org.uk

Abstract

Abdominal pain is a common presentation to the emergency department (ED) and the differential diagnoses is broad. Intussusception is more common in children, with only 5% of cases reported in adults. 80%–90% of adult intussusception is due to a well-defined lesion resulting in a lead point, whereas in children, most cases are idiopathic. The most common site of involvement in adults is the small bowel. Treatment in adults is generally operative management whereas in children, a more conservative approach is taken with non-operative reduction. We present a case of a 54-year-old woman who presented to our ED with severe abdominal pain and vomiting. CT of the abdomen revealed a jejunojejunal intussusception. The patient had an urgent laparoscopy and small bowel resection of the intussusception segment was performed. Histopathological examination of the resected specimen found no pathologic lead point and, therefore, the intussusception was determined to be idiopathic.

  • emergency medicine
  • gastroenterology
  • small intestine
  • radiology
  • surgery

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Footnotes

  • Twitter @hasqay

  • Contributors AHYAZ, JAAJ, SNA and HQ reviewed the patient. AHYAZ, JAAJ and SNA wrote the first draft. HQ conceptualised the idea, reviewed the first draft, and added critically important intellectual data.

  • 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.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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