title: Spontaneous reduction of ileoileal adult intussusception after blunt abdominal injury.
abstract: This is the first case report of an adult who had spontaneous reduction of ileoileal intussusception occurred after punching to the abdomen. A 40-year-old man was brought to our emergency department by ground ambulance due to pounding and punching a few hours ago. Physical examination showed multiple dermabrasions on his face, abdomen, and lower extremities. All other examinations were unremarkable except that of mild abdominal pain. Laboratory results gave no clues. On abdominal x-ray, paucity of intestinal gas, pseudomass and surrounding gas appearances were visible. No nausea or vomiting occurred during observation. His abdominal pain resolved gradually. On the 24th hour after admission, control computed tomography showed that the findings of intussusception disappeared. He was discharged after 1 day of observation. Outpatient follow-up did not show any abnormality. We suggest that, in patients with mild to moderate trauma, even if the patient has mild abdominal pain, physicians should rule out invagination. Computed tomography is the suggested imaging modality. These patients should be kept in close follow-up. If symptoms resolve and intussusception findings disappear in computed tomography, no further treatment is required.
authors: Department of Emergency Medicine, Faculty of Medicine, University of Ataturk, Erzurum, Turkey. Electronic address: mucahitemet@gmail.com.
authors: Mucahit
authors: M
authors: Emet
authors: Department of Emergency Medicine, Faculty of Medicine, University of Ataturk, Erzurum, Turkey. Electronic address: abdullahmrym86@gmail.com.
authors: Abdullah Osman
authors: AO
authors: Kocak
authors: Department of Emergency Medicine, Faculty of Medicine, University of Ataturk, Erzurum, Turkey. Electronic address: akbasilker@gmail.com.
authors: Ilker
authors: I
authors: Akbas
authors: Department of Radiology, Faculty of Medicine, University of Ataturk, Erzurum, Turkey. Electronic address: adem.karaman@atauni.edu.tr.
authors: Adem
authors: A
authors: Karaman
authors: Department of General Surgery, Faculty of Medicine, University of Ataturk, Erzurum, Turkey. Electronic address: drsukruarslan@gmail.com.
authors: Sukru
authors: S
authors: Arslan
mesh_terms: D000007:Abdominal Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D000328:Adult; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D007443:Intussusception / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D012075:Remission, Spontaneous; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging