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Intussusception of Small Intestine as a Result of Inflammatory Fibroid Polyp Causing Small Bowel Obstruction in an
A S Grover1, M Kumar1, R Yadav1
1Department of Surgery, Maharishi Markandeshwar Institute of Medical Sciences (MMIMSR), Mullana, Ambala, Hayrana, India.
Insights
Adult intussusception, though rare, can cause acute intestinal obstruction. This case highlights an inflammatory fibroid polyp as the lead point in a 45-year-old man.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Intussusception, the telescoping of bowel segments, is uncommon in adults.
- Adult intussusception often necessitates surgical intervention due to a lead point.
Observation:
- A 45-year-old male presented with a 10-day history of acute intestinal obstruction.
- Exploratory laparotomy revealed intussusception of the small intestine.
Findings:
- A well-circumscribed, polypoidal mass was identified within the intussuscepted segment.
- Histopathological examination confirmed the mass as an inflammatory fibroid polyp.
Implications:
- Inflammatory fibroid polyps can act as a lead point for intussusception in adults.
- This case underscores the importance of considering rare causes of intestinal obstruction in adult patients.
Abstract:
Intussusception is the telescoping of one segment of bowel into the adjacent segment. It is more commonly seen in children,however rarely encountered in adult patients. Proximal segment of bowel is called intussusceptum which is intussuscepted into the lumen of the adjacent distal segment known as intussuscipiens. There is always a lead point causing this disorder especially in adults. We presented a case of a 45 year old man who presented in emergency department of our institute with history and clinical features of acute intestinal obstruction since 10 days. Patient was resuscitated, investigated and taken for exploratory laparotomy under General anaesthesia. Segment of involved small gut was resected and well circumscribed polypoidal mass was found in intussuscepted bowel. Histopathological examination of the specimen revealed the features of inflammatory fibroid polyp.
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