Adult idiopathic jejuno-ileal intussusception.
This 67-year-old woman, with numerous previous abdominal operations, presented to her general practitioner 3 years ago with generalised abdominal pain and diarrhoea. With unremarkable haematology tests and a CT scan at that time she was given the diagnosis of irritable bowel syndrome. During the next 3 years her symptoms continued intermittently and now associated with vomiting and weight loss. This time both a barium follow-through followed by a CT scan demonstrated a small bowel intussusception. A laparotomy was done but surprisingly no intussusception was found, only a single adhesional band which was divided. She was discharged 5-days postoperative but re-admitted 3 days later with abdominal discomfort, bloating and vomiting. A repeat CT scan again showed the presence of a small bowel intussusception and a second laparotomy was performed, this time demonstrating a jejuno-ileal intussusception which was reduced and resected with primary anastomosis. Her postoperative course was without incidents.
Colorectal Surgery, Queen Elizabeth Hospital, Birmingham, West Midlands, UK. mnkwam@doctors.org.uk
N
N
Nkwam
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A
Desai
S
S
Radley
D000368:Aged; D000714:Anastomosis, Surgical; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis*; D007082:Ileum / Q000000981:diagnostic imaging / Q000601:surgery; D007443:Intussusception / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D007579:Jejunal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D007583:Jejunum / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed