Transient Intussusception Mimicking Acute Coronary Syndrome
Hiroshi Imamura1, Yuichiro Kashima1, Yujiro Hamano1
1Department of Emergency and Critical Care Medicine, Shinshu University, Matsumoto, Japan.
Case Reports in Gastrointestinal Medicine
|October 18, 2023
Summary
Adult intussusception, though rare, can mimic acute coronary syndrome. This case highlights idiopathic ileocecal intussusception presenting as chest pain, emphasizing its role in differential diagnosis.
Area of Science:
- Gastroenterology
- Cardiology
- Radiology
Background:
- Adult intussusception is uncommon and typically linked to underlying organic pathology.
- Idiopathic and transient intussusceptions are increasingly recognized, particularly with advancements in computed tomography (CT).
Observation:
- An 80-year-old male with a history of myocardial infarction presented with symptoms suggestive of acute coronary syndrome, including chest pain, sweating, and vomiting.
- Coronary angiography showed no new significant lesions, but abdominal CT revealed ileocecal intussusception without bowel obstruction.
Findings:
- The patient's pain resolved spontaneously, and he was discharged without specific intervention for the intussusception.
- This case demonstrates ileocecal intussusception presenting atypically as cardiac pain.
Implications:
- Physicians should consider intussusception as a differential diagnosis in patients presenting with chest pain and a normal coronary arteriogram.
- Idiopathic intussusception's potential for spontaneous resolution necessitates awareness in clinical practice.
- This highlights the importance of cross-disciplinary diagnostic considerations in emergency medicine.
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