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Vol.62 (2012) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10087/6881

Title: Idiopathic Adult Intussusception : A Case Report
Authors: Shimizu, Takahiro
Kobayashi, Naoyuki
Saito, Junichi
Nakamura, Tetsuya
Nagayama, Aiko
Yokoe, Takamichi
Kurihara, Eiji
Ikeda, Toshiaki
Ueyama, Yoshito
Saito, Mitsuhiro
Horikawa, Hitomi
Muto, Hidetomo
Keywords: Intussusception
Hutchinson’s maneuver
Issue Date: 1-May-2012
Publisher: 北関東医学会
Citation: The Kitakanto medical journal. 2012, 62(2), p.139-141
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℃, the white blood cell count was 14,000/μl and CRP 0.01mg/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.
URI: http://hdl.handle.net/10087/6881
ISSN: 1343-2826
Appears in Collections:Vol.62 (2012)

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