title: Adult intussusception caused by myoepithelial hamartoma in the small bowel: A case report.
abstract: BACKGROUND
  Intussusception is rare in adults and can have acute, intermittent or chronic presentations. We present an unusual case of intussusception in an adult.
  
  
  METHODS
  A 25 year old male presented with sudden severe abdominal pain and vomiting. He had no relevant medical history. Mechanical small bowel obstruction was confirmed on imaging and laparotomy revealed a nodular lead point in the submucosa of the ileum. He had resection of a segment of small bowel with a primary anastamosis. Histopathology of the lesion demonstrated myoepithelial hamartoma (MEH), a rare cause of intussusception.
  
  
  CONCLUSIONS
  Although intussusception is not uncommon in children, it is rare in adults. Management delays are a major cause of morbidity. This report details our management of a case of intussusception caused by MEH in an otherwise healthy adult.
  
  
  CONCLUSIONS
  Intussusception caused by MEH is a rare but serious cause of mechanical bowel obstruction. We propose that surgeons should consider this diagnosis in atypical cases of bowel obstruction and expedite laparotomy when it is suspected.
authors: Department of Surgery, Sligo Rezgional Hospital, The Mall, Sligo, Ireland. Electronic address: tunjiadeyanju@gmail.com.
authors: Adeyanju
authors: A
authors: Adetunji
authors: Department of Surgery, Sligo Rezgional Hospital, The Mall, Sligo, Ireland.
authors: Donagh
authors: D
authors: Healy
authors: Department of Histopathology, Sligo Regional Hospital, The Mall, Sligo, Ireland.
authors: Nessa
authors: N
authors: O'Donnell
authors: Department of Radiology, Sligo Regional Hospital, The Mall, Sligo, Ireland.
authors: Stephen
authors: S
authors: Davitt
authors: Department of Surgery, Sligo Rezgional Hospital, The Mall, Sligo, Ireland.
authors: Tim
authors: T
authors: O'Hanrahan
keywords: Adult intussusception; Intestinal obstruction; Myoepithelial hamartoma
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