Related Experiment Videos
[Invagination caused by a malignant jejunal polyp--lessons from a diagnostic error]
Roland Makay1, Péter Banga, Zsolt Pohárnok
1Petz Aladár Megyei Oktató Kórház, Sebészeti Osztály, Gyor.
Magyar Sebeszet
|May 24, 2005
Summary
A rare jejunal polyp caused a 6-year history of abdominal issues, initially misdiagnosed as gastroesophageal reflux. Surgical resection of the adenocarcinoma-containing polyp resolved the patient's symptoms.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Diagnostic Imaging
Background:
- Delayed diagnosis of mechanical small bowel obstruction can lead to significant patient morbidity.
- Misinterpretation of symptoms and radiological findings can result in prolonged, ineffective treatments.
Observation:
- A patient presented with a 6-year history of severe abdominal complaints, initially managed as gastroesophageal reflux.
- Despite numerous investigations, the correct diagnosis of an ileus secondary to jejunal invagination by a large jejunal polyp was only made during an acute abdominal event.
Findings:
- Urgent laparotomy revealed a 40 cm jejunal invagination caused by a large jejunal polyp.
- Histological examination confirmed Grade I adenocarcinoma within the resected jejunal segment.
- The patient experienced a complete symptom resolution following segmental small bowel resection.
Implications:
- This case highlights the diagnostic challenges in differentiating upper small bowel obstruction from severe esophago-gastro-duodenal disorders.
- Emphasizes the importance of utilizing advanced diagnostic methods when faced with diagnostic uncertainty or therapeutic failure.
- Underscores the potential for rare causes, such as jejunal polyps, to present with prolonged, non-specific gastrointestinal symptoms.