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Total colorectal and terminal ileal duplication presenting as intussusception and intestinal obstruction

Yuen Chi Ho1

  • 1Department of Radiology, Queen Mary Hospital, Hong Kong, China. hoyc1@ha.org.hk

World Journal of Gastroenterology
|November 28, 2012
PubMed

Insights

Adult intussusception and enteric duplication present non-specifically, posing diagnostic challenges. Computed tomography (CT) scanning is crucial for diagnosing these rare conditions in adults, aiding pre-operative identification.

Area of Science:

  • Gastroenterology
  • Radiology

Background:

  • Colonic intussusception and gastrointestinal duplication are typically pediatric conditions.
  • Adult presentations are often non-specific, complicating diagnosis.

Observation:

  • A rare case of adult colonic intussusception with enteric duplication is presented.
  • Computed tomography (CT) imaging revealed characteristic findings.

Findings:

  • CT scans are the most sensitive tool for diagnosing adult intussusception and duplication.
  • The pathognomonic finding involves the outer intussusceptiens and central intussusceptum.

Implications:

  • This case highlights the importance of considering rare etiologies for acute abdomen in adults.
  • Advanced CT imaging significantly enhances pre-operative diagnostic accuracy for these uncommon conditions.

Keywords:
Colonic duplicationIleal duplicationIntestinal obstructionIntussusception

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