Makale detayı · 2016
A Rare Cause of Acute Abdomen: Diagnosis and Management of Adult Colonic Intussusception
Jaypee Brothers Medical Publishing
- Yıl
- 2016
- ISSN
2231-5047- Tür
- article
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Özet
İngilizce (OpenAlex)
A 50-year-old male was admitted to the emergency service with colicky abdominal pain and nausea without vomiting in the previous day.The patient reported normal defecation.His medical history was unremarkable except for smoking.He had first experienced such pain before 1 month.A physical examination revealed lower-right quadrant tenderness with no defense or rebound, and little stool was found available on a digital rectal examination.Laboratory findings were normal except for leukocytosis.A radiographic examination revealed an air fluid level, but an ultrasonographic examination showed intussusception in 57 mm of the colon, edema in the colon wall, and inflammation in adipose and mesenteric tissues; therefore, a CT scan was performed for further evaluation.The CT scan revealed findings as detected by ultrasonography (Fig. 1).The patient was admitted to the general surgery department, and a laparotomy was performed ABSTRACT Intussusception in adults is very rarely seen, and this cause acute abdomen.A computed tomography (CT) scan, clinical suspicion, history, and a physical examination are important for the diagnosis.We present two cases of colonic intussusceptions induced by lipoma.The cases had similar locations, diagnoses, and management.Both lipomas were located close to the cecum in the ascending colon, and a right segmental colon resection was performed in both cases.The follow-up of both cases was uneventful.Although benign lesions can cause colonic intussusception, the high incidence of malignancy in colonic lesions should always be considered.Therefore, oncologic surgical procedures should be applied.The definitive diagnosis can be made by histopathology.
Konular
- Gastrointestinal disorders and treatments
- Gastrointestinal Tumor Research and Treatment
- Diverticular Disease and Complications
Birincil konu Gastrointestinal disorders and treatments