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Published on: October 29, 2014
Intussusception in a young adult with bloody diarrhoea
M Stechman1, P Safranek, S Purkayastha
1Department of Surgery, Wexham Park Hospital, Slough, Berkshire, UK.
Insights
Adult intussusception is rare but can cause bloody diarrhoea. Unlike in children, adult intussusception often indicates a tumor and requires surgery, highlighting the need for thorough investigation of unusual symptoms.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Bloody diarrhoea is a frequent symptom across various medical settings.
- Intussusception is a common cause of bowel obstruction in infants but rare in adults.
- Adult intussusception is frequently associated with underlying malignancy.
Purpose of the Study:
- To present a case of adult intussusception presenting with acute bloody diarrhoea.
- To emphasize the diagnostic and management considerations for adult intussusception.
- To highlight the importance of considering intussusception in adults with unexplained rectal bleeding.
Main Methods:
- Case report of a young male patient with acute bloody diarrhoea.
- Diagnostic workup including colonoscopy.
- Surgical intervention and resection.
Main Results:
- Colonoscopy confirmed intussusception as the cause of symptoms.
- The patient underwent successful surgical treatment.
- The underlying cause was identified and addressed surgically.
Conclusions:
- Adult intussusception, though rare, necessitates a high index of suspicion in patients with bloody diarrhoea.
- Surgical resection is the mainstay of treatment for adult intussusception due to the high incidence of malignancy.
- A comprehensive diagnostic approach is crucial for timely diagnosis and management.
Abstract:
Bloody diarrhoea is a common presenting symptom in acute surgery, medicine and also in out-patient clinics. Intussusception, although a common cause of small bowel obstruction and rectal bleeding in infants, is rare in adults. In contrast to paediatric cases, where the majority can be treated by pneumatic or hydrostatic reduction, the vast majority of adult cases of intussusception are due to a tumour of some kind and will require operation and resection. Diagnostically plain radiology, CT, ultrasound and endoscopy are useful since the clinical picture is often unclear. We present a case of a young man who presented with acute bloody diarrhoea. The diagnosis was made colonoscopically and he was treated surgically. The case underlines the need for surgeon to maintain an open mind when investigating unexceptional symptoms.
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