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[Chronic small bowel invagination due to leiomyoma]
R Fischbach1, W Gross-Fengels, U Hesse
1Institut und Poliklinik für Radiologische Diagnostik, Universität zu Köln.
Rontgen-Blatter; Zeitschrift Fur Rontgen-Technik Und Medizinisch-Wissenschaftliche Photographie
|June 1, 1990
Summary
A rare case of chronic intussusception caused by a small bowel leiomyoma is presented. Enteroclysis successfully diagnosed this condition, highlighting its value in diagnosing complex gastrointestinal issues.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Diagnostic Imaging
Background:
- Chronic intussusception is a rare cause of bowel obstruction, often presenting with vague abdominal symptoms.
- Leiomyomas are benign smooth muscle tumors that can occur anywhere in the gastrointestinal tract.
- Accurate preoperative diagnosis of intussusception is crucial for effective surgical planning.
Observation:
- A case of chronic intussusception of the distal ileum was identified.
- The intussusception was caused by a leiomyoma, a benign smooth muscle tumor.
- The patient presented with non-specific, chronic abdominal symptoms.
Findings:
- An extensive diagnostic work-up, including endoscopic and radiologic examinations, was performed.
- Enteroclysis, a specialized radiographic examination, achieved a preoperative diagnosis.
- Radiologic and intraoperative findings confirmed the diagnosis of leiomyoma-induced intussusception.
Implications:
- Enteroclysis is a valuable tool for diagnosing small bowel abnormalities, particularly intussusception.
- Early and accurate diagnosis can prevent complications associated with prolonged intussusception.
- This case underscores the importance of considering rare etiologies for chronic abdominal pain.