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Small bowel intussusception caused by a serrated adenoma: a case report
Yi Chen1, Jiwei Wang1, Maijian Wang1
1Department of General Surgery, Digestive Disease Hospital, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
The Journal of International Medical Research
|December 22, 2022
Summary
A rare small intestinal tumor caused intussusception in a young woman. Early surgical intervention is crucial for diagnosing and treating unexplained abdominal pain and gastrointestinal issues.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Recurrent abdominal pain in young individuals can indicate serious underlying pathology.
- Intussusception and volvulus are rare but critical gastrointestinal emergencies.
Observation:
- A 17-year-old female presented with a year of abdominal pain.
- Imaging revealed intussusception and pelvic volvulus.
- Intraoperative findings identified a cauliflower-shaped polypoid tumor as the cause.
Findings:
- Pathological examination confirmed the tumor as a traditional serrated adenoma of the small intestine.
- This diagnosis is rare and presents with atypical clinical manifestations.
- The tumor measured approximately 4x3 cm.
Implications:
- Early surgical exploration is vital for diagnosing unexplained abdominal pain or bleeding when masses are not clearly located.
- Prompt surgical intervention ensures accurate diagnosis and improves patient prognosis.
- Highlights the importance of considering rare tumors in the differential diagnosis of pediatric and young adult gastrointestinal obstruction.
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