title: A young woman with a jejuno-jejunal intussusception.
abstract: A 27-year-old woman presented at the emergency department, with pain in the epigastric region. Because physical examination, blood results, urine tests and an X-ray of the thorax showed no abnormalities, she was discharged. Twelve hours later, she presented again at the emergency department, with intense abdominal pain. The blood results, an X-ray and ultrasound of the abdomen were now aberrant. A CT of the abdomen showed an extensive intussusception. During an emergency laparotomy, the intussusception of the proximal jejunum was confirmed. Owing to gangrene of the proximal jejunum, a resection was inevitable. A polyp in the resected part of the jejunum was the lead point of the intussusception. This case report shows the challenges of diagnosing an 'intussusception' and gives a short overview of this condition in adults.
authors.affiliation: Department of Surgery-Traumatology, Reinier de Graaf Group, Delft, Zuid-Holland, The Netherlands.
authors.forename: Louisa J D
authors.initials: LJ
authors.lastname: van Dijk
authors.affiliation: Department of Surgery-Traumatology, Reinier de Graaf Group, Delft, Zuid-Holland, The Netherlands.
authors.forename: Bo Jan
authors.initials: BJ
authors.lastname: Noordman
authors.affiliation: Department of Surgery-Traumatology, Reinier de Graaf Group, Delft, Zuid-Holland, The Netherlands.
authors.forename: Joris J
authors.initials: JJ
authors.lastname: Scheepers
authors.affiliation: Department of Surgery-Traumatology, Reinier de Graaf Group, Delft, Zuid-Holland, The Netherlands.
authors.forename: Klaas A
authors.initials: KA
authors.lastname: Hartholt
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005734:Gangrene / Q000601:surgery; D006801:Humans; D007417:Intestinal Polyps / Q000150:complications / Q000473:pathology / Q000601:surgery; D007443:Intussusception / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D007579:Jejunal Diseases / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D007813:Laparotomy