Idiopathic adult intussusception: A case report

Takahiro Shimizu, Naoyuki Kobayashi, Junichi Saito, Tetsuya Nakamura, Aiko Nagayama, Takamichi Yokoe, Eiji Kurihara, Toshiaki Ikeda, Yoshito Ueyama, Mitsuhiro Saito, Hitomi Horikawa, Hidetomo Muto

Research output: Contribution to journalArticle

Abstract

Adult intussusceptions account for 5-10% of all intussusception cases and are considered rare, whereas they are most commonly encountered in children. Among adult cases, idiopathic intussusceptions are pretty rare. A 36-year-old male was admitted to our hospital with abdominal pain. His body temperature was 37.0°C, the white blood cell count was 14,000/μ1 and CRP O.Olmg/dl. A standing abdominal X-ray showed slight niveau formation. Computed tomography demonstrated the multiple concentric ring sign. His condition detoriorated and a laparotomy was performed. Intraoperatlvely, a mass measuring six centimeters in diameter was seen in the left side of the hepatic flexure of the transverse colon. The diseased intestine was reducted with Hutchinson's maneuver. No lesions or malignancy were found, however an ileocecal resection was performed to prevent recurrence of the intussusception. The resected specimen showed congestion and wall thickening. Pathological examination of resected specimen showed marked congestion and hemorrhage with coagulation necrosis. The patient's postoperative course was uneventful and he was discharged from our hospital on the 10th postoperative day. After nineteen months' follow up, no recurrence of the intussusception has been seen. Reduction of the bowel followed by minimum bowel resection should be considered to prevent recurrence of the intussusception and to avoid short gut or adhesional ileus.

Original languageEnglish
Pages (from-to)139-141
Number of pages3
JournalKitakanto Medical Journal
Volume62
Issue number2
DOIs
Publication statusPublished - 2012 Aug 9
Externally publishedYes

Fingerprint

Intussusception
Recurrence
Transverse Colon
Ileus
Body Temperature
Leukocyte Count
Laparotomy
Abdominal Pain
Intestines
Necrosis
Tomography
X-Rays
Hemorrhage
Liver
Neoplasms

Keywords

  • Adult
  • Bowel
  • Hutchinson's maneuver
  • Idiopathic
  • Intussusception

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Shimizu, T., Kobayashi, N., Saito, J., Nakamura, T., Nagayama, A., Yokoe, T., ... Muto, H. (2012). Idiopathic adult intussusception: A case report. Kitakanto Medical Journal, 62(2), 139-141. https://doi.org/10.2974/kmj.62.139

Idiopathic adult intussusception : A case report. / Shimizu, Takahiro; Kobayashi, Naoyuki; Saito, Junichi; Nakamura, Tetsuya; Nagayama, Aiko; Yokoe, Takamichi; Kurihara, Eiji; Ikeda, Toshiaki; Ueyama, Yoshito; Saito, Mitsuhiro; Horikawa, Hitomi; Muto, Hidetomo.

In: Kitakanto Medical Journal, Vol. 62, No. 2, 09.08.2012, p. 139-141.

Research output: Contribution to journalArticle

Shimizu, T, Kobayashi, N, Saito, J, Nakamura, T, Nagayama, A, Yokoe, T, Kurihara, E, Ikeda, T, Ueyama, Y, Saito, M, Horikawa, H & Muto, H 2012, 'Idiopathic adult intussusception: A case report', Kitakanto Medical Journal, vol. 62, no. 2, pp. 139-141. https://doi.org/10.2974/kmj.62.139
Shimizu T, Kobayashi N, Saito J, Nakamura T, Nagayama A, Yokoe T et al. Idiopathic adult intussusception: A case report. Kitakanto Medical Journal. 2012 Aug 9;62(2):139-141. https://doi.org/10.2974/kmj.62.139
Shimizu, Takahiro ; Kobayashi, Naoyuki ; Saito, Junichi ; Nakamura, Tetsuya ; Nagayama, Aiko ; Yokoe, Takamichi ; Kurihara, Eiji ; Ikeda, Toshiaki ; Ueyama, Yoshito ; Saito, Mitsuhiro ; Horikawa, Hitomi ; Muto, Hidetomo. / Idiopathic adult intussusception : A case report. In: Kitakanto Medical Journal. 2012 ; Vol. 62, No. 2. pp. 139-141.
@article{399646f6375a4e7db94e16aa362268c5,
title = "Idiopathic adult intussusception: A case report",
abstract = "Adult intussusceptions account for 5-10{\%} of all intussusception cases and are considered rare, whereas they are most commonly encountered in children. Among adult cases, idiopathic intussusceptions are pretty rare. A 36-year-old male was admitted to our hospital with abdominal pain. His body temperature was 37.0°C, the white blood cell count was 14,000/μ1 and CRP O.Olmg/dl. A standing abdominal X-ray showed slight niveau formation. Computed tomography demonstrated the multiple concentric ring sign. His condition detoriorated and a laparotomy was performed. Intraoperatlvely, a mass measuring six centimeters in diameter was seen in the left side of the hepatic flexure of the transverse colon. The diseased intestine was reducted with Hutchinson's maneuver. No lesions or malignancy were found, however an ileocecal resection was performed to prevent recurrence of the intussusception. The resected specimen showed congestion and wall thickening. Pathological examination of resected specimen showed marked congestion and hemorrhage with coagulation necrosis. The patient's postoperative course was uneventful and he was discharged from our hospital on the 10th postoperative day. After nineteen months' follow up, no recurrence of the intussusception has been seen. Reduction of the bowel followed by minimum bowel resection should be considered to prevent recurrence of the intussusception and to avoid short gut or adhesional ileus.",
keywords = "Adult, Bowel, Hutchinson's maneuver, Idiopathic, Intussusception",
author = "Takahiro Shimizu and Naoyuki Kobayashi and Junichi Saito and Tetsuya Nakamura and Aiko Nagayama and Takamichi Yokoe and Eiji Kurihara and Toshiaki Ikeda and Yoshito Ueyama and Mitsuhiro Saito and Hitomi Horikawa and Hidetomo Muto",
year = "2012",
month = "8",
day = "9",
doi = "10.2974/kmj.62.139",
language = "English",
volume = "62",
pages = "139--141",
journal = "Kitakanto Medical Journal",
issn = "1343-2826",
publisher = "Kitakanto Medical Society",
number = "2",

}

TY - JOUR

T1 - Idiopathic adult intussusception

T2 - A case report

AU - Shimizu, Takahiro

AU - Kobayashi, Naoyuki

AU - Saito, Junichi

AU - Nakamura, Tetsuya

AU - Nagayama, Aiko

AU - Yokoe, Takamichi

AU - Kurihara, Eiji

AU - Ikeda, Toshiaki

AU - Ueyama, Yoshito

AU - Saito, Mitsuhiro

AU - Horikawa, Hitomi

AU - Muto, Hidetomo

PY - 2012/8/9

Y1 - 2012/8/9

N2 - Adult intussusceptions account for 5-10% of all intussusception cases and are considered rare, whereas they are most commonly encountered in children. Among adult cases, idiopathic intussusceptions are pretty rare. A 36-year-old male was admitted to our hospital with abdominal pain. His body temperature was 37.0°C, the white blood cell count was 14,000/μ1 and CRP O.Olmg/dl. A standing abdominal X-ray showed slight niveau formation. Computed tomography demonstrated the multiple concentric ring sign. His condition detoriorated and a laparotomy was performed. Intraoperatlvely, a mass measuring six centimeters in diameter was seen in the left side of the hepatic flexure of the transverse colon. The diseased intestine was reducted with Hutchinson's maneuver. No lesions or malignancy were found, however an ileocecal resection was performed to prevent recurrence of the intussusception. The resected specimen showed congestion and wall thickening. Pathological examination of resected specimen showed marked congestion and hemorrhage with coagulation necrosis. The patient's postoperative course was uneventful and he was discharged from our hospital on the 10th postoperative day. After nineteen months' follow up, no recurrence of the intussusception has been seen. Reduction of the bowel followed by minimum bowel resection should be considered to prevent recurrence of the intussusception and to avoid short gut or adhesional ileus.

AB - Adult intussusceptions account for 5-10% of all intussusception cases and are considered rare, whereas they are most commonly encountered in children. Among adult cases, idiopathic intussusceptions are pretty rare. A 36-year-old male was admitted to our hospital with abdominal pain. His body temperature was 37.0°C, the white blood cell count was 14,000/μ1 and CRP O.Olmg/dl. A standing abdominal X-ray showed slight niveau formation. Computed tomography demonstrated the multiple concentric ring sign. His condition detoriorated and a laparotomy was performed. Intraoperatlvely, a mass measuring six centimeters in diameter was seen in the left side of the hepatic flexure of the transverse colon. The diseased intestine was reducted with Hutchinson's maneuver. No lesions or malignancy were found, however an ileocecal resection was performed to prevent recurrence of the intussusception. The resected specimen showed congestion and wall thickening. Pathological examination of resected specimen showed marked congestion and hemorrhage with coagulation necrosis. The patient's postoperative course was uneventful and he was discharged from our hospital on the 10th postoperative day. After nineteen months' follow up, no recurrence of the intussusception has been seen. Reduction of the bowel followed by minimum bowel resection should be considered to prevent recurrence of the intussusception and to avoid short gut or adhesional ileus.

KW - Adult

KW - Bowel

KW - Hutchinson's maneuver

KW - Idiopathic

KW - Intussusception

UR - http://www.scopus.com/inward/record.url?scp=84864533187&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84864533187&partnerID=8YFLogxK

U2 - 10.2974/kmj.62.139

DO - 10.2974/kmj.62.139

M3 - Article

AN - SCOPUS:84864533187

VL - 62

SP - 139

EP - 141

JO - Kitakanto Medical Journal

JF - Kitakanto Medical Journal

SN - 1343-2826

IS - 2

ER -