Journal of Yeungnam Medical Science

Case reports

Jejunogastric intussusception prone to misdiagnosis as gastric cancer: Yong-Eun Park, Sang-Woon Kim; Yeungnam Univ J Med. 2020;37(3):236-241. Published online April 6, 2020; DOI: https://doi.org/10.12701/yujm.2020.00038

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The authors report a case of a 78-year-old female with a history of gastric surgery 35 years ago. She was initially misdiagnosed as gastric cancer bleeding and underwent an emergency laparotomy under the diagnosis of jejunogastric intussusception (JGI), 23 hours after the onset of symptoms. We also reviewed 116 JGI case reports and analyzed clinical features and outcomes. Compared to the past, diagnosis of JGI is easier with diagnostic examinations such as an endoscopy, computed tomography, and the upper gastrointestinal series. And a good prognosis can be expected with proper fluid resuscitation and surgical reduction, even if the symptoms persist more than 48 hours.

Citations

Citations to this article as recorded by

Jejunogastric intussusception after pancreaticoduodenectomy: a case report
Konosuke Yogo, Masanori Sando, Ryutaro Kobayashi, Genta Yano, Noriaki Ohara, Kiyotaka Kawai, Kenji Takagi, Satoru Kawai, Satoaki Kamiya
Surgical Case Reports.2022;[Epub] CrossRef

Synchronous ileal inflammatory fibroid polyp and Meckel’s diverticulum found during laparoscopic surgery for adult intussusception: Sung Il Kang, Mi Jin Gu; Yeungnam Univ J Med. 2020;37(3):226-229. Published online December 18, 2019; DOI: https://doi.org/10.12701/yujm.2019.00388

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Abstract PDF

We present a rare case of synchronous ileal inflammatory fibroid polyp and Meckel’s diverticulum detected during laparoscopic surgery for adult intussusception. A 48-year-old woman presented with sudden onset of severe abdominal pain. Abdominal computed tomography revealed a segment of ileocecal intussusception. Thus, laparoscopic exploration was performed, which revealed an ileal mass with an outpouching closed luminal structure in the distal ileum. Two abnormal structures were resected via mini-laparotomy, and the patient was discharged without postoperative complications. Histopathological examination confirmed an ileal inflammatory fibroid polyp and Meckel’s diverticulum with ectopic pancreatic tissue.

Citations

Citations to this article as recorded by

Intestinal intussusception of Meckel’s diverticulum, a case report and literature review of the last five years
Dora Sandoval Schaedlich, Pedro Custodio de Mello Borges, Arnaldo Lacombe, Renato Alonso Moron
einstein (São Paulo).2023;[Epub] CrossRef
A Rare Cause of Colonic Obstruction: Inflammatory Fibroid Polyp
Sevinc Dagistanli, Nermin Gunduz, Osman Sibic, Suleyman Sonmez
Cureus.2022;[Epub] CrossRef
Case Report: Ileo-Ileal Intussusception Secondary to Inflammatory Fibroid Polyp: A Rare Cause of Intestinal Obstruction
Claudio Guerci, Francesco Colombo, Gloria Goi, Pietro Zerbi, Barbara Pirrò, Piergiorgio Danelli
Frontiers in Surgery.2022;[Epub] CrossRef
Adult intussusception: a challenge to laparoscopic surgery?
Mingze Sun, Zhongmin Li, Zhenbo Shu, Qi Wu, Xue Liu
PeerJ.2022; 10: e14495. CrossRef
Adult Jejuno-jejunal intussusception due to inflammatory fibroid polyp
Yi-Kai Kao, Jian-Han Chen
Medicine.2020; 99(36): e22080. CrossRef

Case Report

Adult intussusception caused by inverted Meckel's diverticulum treated with operation.: Sung Yun Lee, Jae Yoon Jeong, Seung Hyun Hong, Seung Min Woo, Su Heui Lee, Hyun Joo You, Dong Won Kim; Yeungnam Univ J Med. 2016;33(2):116-119. Published online December 31, 2016; DOI: https://doi.org/10.12701/yujm.2016.33.2.116

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Abstract PDF: Intussusception is a serious disease where part of the intestine slides into an adjacent part of the intestine. Adult intussusception is mainly due to benign or malignant neoplasm. Therefore, in most cases of adult intussusception, treatment by surgery would be preferable to conservative therapy. However, we report on a 28-year-old female patient who underwent intussusception operation delayed 3 months. Abdominal computed tomography 3 months ago showed a small bowel intussusception measuring 20 cm long. Three months later, the previously identified small bowel intussusception appeared without change. The patient underwent surgery, and ectopic gastric mucosa was observed in the biopsy. Therefore, Meckel's diverticulum was diagnosed.

Original Article

Difference in the distribution of onset age of intussusception after rotavirus vaccination and according to the type of rotavirus vaccine: single medical center study.: Yun Young Lee, Eung Bin Lee, Kwang Hae Choi; Yeungnam Univ J Med. 2015;32(2):80-84. Published online December 31, 2015; DOI: https://doi.org/10.12701/yujm.2015.32.2.80

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Abstract PDF

BACKGROUND
Rotavirus is the most common cause of severe gastroenteritis in children <5 years of age. The first vaccine, RotaShield was developed, but withdrawn because of its association with increased risk of intussusception. Then, RotaTeq and Rotarix were developed. Although in pre-licensure studies, they were not associated with an increased risk of intussusceptions, in recent studies, it has been controversial. Regarding increased risk of intussusception, we studied the difference in the age of intussusception after rotavirus vaccination. METHODS: A retrospective analysis was conducted on 136 patients diagnosed with intussusception at Yeungnam University Medical Center for 4 years in the pre-vaccination period (group A) and in the post vaccination period (group B). Sex, mean age and age distribution of intussusceptions were compared according to the type of rotavirus vaccine (group B-1, RotaTeq; group B-2, Rotarix). RESULTS: The median ages of group A and group B were 18.8+/-19.6 months and 15.5+/-10.2 months, with no significant differences (p=0.23). The median ages of group B-1 and group B-2 were 15.3+/-9.3 months and 15.6+/-10.8 months, with no significant differences (p=0.91). And No significant difference in the distribution of onset age was observed between groups, and only 6 patients were diagnosed with intussusceptions within 1 month after vaccination. CONCLUSION: No difference was observed in the distribution of onset age of intussusception after rotavirus vaccination and according to the type of rotavirus vaccine. Our study has a limitation in that it was conducted in part of the Daegu area. Additional study is needed.

Citations

Citations to this article as recorded by

Occurrence Pattern of Intussusception according to the Introduction of Rotavirus Vaccine: An Observational Study at a University Hospital
Hye Na Nam, Kyung In Lim, Hann Tchah, Eell Ryoo, Yong Han Sun, Hye-Kyung Cho
Pediatric Infection and Vaccine.2016; 23(3): 202. CrossRef

Case Reports

A Case of Small Bowel Intussusception Caused by Jejunal Hamartoma Confused as Hepatitis A in an Adult.: Joon Hur, Gu Min Cho, Young Ook Eum, Ji Young Park, Mi Sung Kim, Byung Seong Ko, Hyang Mi Shin, Seung Myoung Son; Yeungnam Univ J Med. 2012;29(2):110-112. Published online December 31, 2012; DOI: https://doi.org/10.12701/yujm.2012.29.2.110

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Abstract PDF: Intussusception in adult is a rare disease and laparotomy is usually considered because of the probability of malignancy. Especially with obstruction symptom or sign, it might be needed emergency operation. This case was a simultaneous development of small bowel intussusception and acute hepatitis A. The patient had abdominal pain and vomiting. Intitial laboratory examination with elevated aminotransferase revealed that the diagnosis was acute hepatitis. As managing acute hepatitis, the abdominal pain was not improved and the patient had tenderness on periumbilical area on physical examination. A jejunal intussusception with a lead point was proved on the abdominal computed tomography scan. Fortunately, symptom of intussusception was relieved while nulli per os (NPO) and intravenous hydration. After recovery of acute hepatitis, laparotomy was done. The lead point was 2.5x3.0 cm sized hamartoma. This was the case that the symptom of intussusception was confused with that of acute hepatitis.

A Case of Jejunal Diverticulitis with Perforation Combined with Intussusception Caused by Inflammatory Fibroid Polyp.: Jae Won Choi, Kook Hyun Kim, Ji Eun Lee, Jun Hwan Kim, Byung Ik Jang, Tae Nyeun Kim, Moon Kwan Chung, Jae Whang Kim; Yeungnam Univ J Med. 2005;22(1):113-118. Published online June 30, 2005; DOI: https://doi.org/10.12701/yujm.2005.22.1.113

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Abstract PDF: Diverticulosis of the small intestine is a rare entity, compared with that of duodenum or colon, and is found in only 1% of autopsied patients. The main complications are diverticulitis with or without a perforation, obstruction and hemorrhage, which are associated with a high mortality. Intussusception is primarily a disease of childhood; with only 5 to 10% of cases occurring in adults. In contrast to childhood intussusception, 90% of adult intussusception cases are had an associated pathologic processes. An inflammatory fibroid polyp is an uncommonly localized non-neoplastic lesion of the gastrointestinal tract. It occurs most often in the stomach and secondly in the ileum. It rarely occurs in other organs such as the colon, jejunum, duodenum and esophagus. We report a case of jejunal diverticulitis with a perforation combined with intussusception caused by an inflammatory fibroid polyp. A 78-year-old female presented with abdominal pain, fever and chill. Contrast CT scan showed intussusception of the ileum. The patient was treated with a small bowel segmental resection. After surgery, the specimen showed jejunal diverticulitis with perforation.

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