Transient adult jejunal intussusception

Intussusception is a rare cause of abdominal pain in adults. It occurs in fewer than 1% of all cases of adult small bowel obstruction. In the adult population, most cases are the result of some type of intestinal lesion like adhesions, melanomas, lipomas or adenomatous polyps. Idiopathic intussuscep...

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Bibliographic Details
Published in:	The Journal of emergency medicine Vol. 24; no. 4; pp. 395 - 400
Main Authors:	Napora, Taras E, Henry, Kevin E, Lovett, Thea J, Beeson, Michael S
Format:	Journal Article
Language:	English
Published:	New York, NY Elsevier Inc 01-05-2003 Elsevier
Subjects:	abdominal imaging abdominal pain Abdominal Pain - etiology Adult Age Factors Anorexia - etiology Biological and medical sciences bowel obstruction Causality Diagnosis, Differential Diarrhea - etiology Emergency Treatment - methods Endoscopy, Digestive System Female Gastroenterology. Liver. Pancreas. Abdomen Humans intussusception Intussusception - diagnosis Intussusception - etiology Intussusception - therapy Jejunal Diseases - diagnosis Jejunal Diseases - etiology Jejunal Diseases - therapy Laparoscopy Laparotomy Male Medical sciences Nausea - etiology Other diseases. Semiology Remission, Spontaneous Stomach. Duodenum. Small intestine. Colon. Rectum. Anus target lesions Tomography, X-Ray Computed Vomiting - etiology target lesions abdominal pain intussusception abdominal imaging bowel obstruction Human Radiodiagnosis Intussusception Male Transitory Case study Jejunum Emergency department Treatment Digestive diseases Medical imagery Intestinal disease Adult Female Computerized axial tomography Diagnosis
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Summary:	Intussusception is a rare cause of abdominal pain in adults. It occurs in fewer than 1% of all cases of adult small bowel obstruction. In the adult population, most cases are the result of some type of intestinal lesion like adhesions, melanomas, lipomas or adenomatous polyps. Idiopathic intussusceptions are an extremely rare occurrence in adults, comprising only 2–23% of diagnosed intussusceptions. This report describes two cases of transient, idiopathic adult jejunal intussusception in a 19-year-old woman and a 39-year-old man, both presenting to the same hospital 1 week apart. Both patients complained of nonspecific abdominal pain and nausea and were diagnosed with intussusception by computed tomography (CT) scan. In both cases, no underlying bowel abnormality was identified and neither required a bowel resection. This report discusses the common presentation, diagnosis, and treatment of adult intussusception and questions whether patients with transient intussusceptions require exploratory laparotomy.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0736-4679 2352-5029
DOI:	10.1016/S0736-4679(03)00036-2