RT Journal Article
SR Electronic
T1 Jejunojejunal intussusception in an adult: a rare presentation of abdominal pain in the emergency department
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e243787
DO 10.1136/bcr-2021-243787
VO 14
IS 7
A1 Ahmed Hasan Yousef Al Zaabi
A1 Jasmine Abdulla Al Janahi
A1 Salwa Najim Alremeithi
A1 Hasan Qayyum
YR 2021
UL http://casereports.bmj.com/content/14/7/e243787.abstract
AB 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.