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Jejunojejunal intussusception secondary to leiomyoma
V J Mansberg1, G Mansberg, B D Doust
1Department of Radiology, St Vincent's Hospital, Darlinghurst, NSW, Australia.
Australasian Radiology
|February 1, 1996
Summary
A 59-year-old male experienced jejunojejunal intussusception caused by a leiomyoma. This rare condition, presenting as abdominal pain and vomiting, was diagnosed using imaging and confirmed surgically.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Intussusception, a condition where one segment of the intestine telescopes into another, is uncommon in adults.
- Leiomyomas are benign smooth muscle tumors that can occur in the gastrointestinal tract.
Observation:
- A 59-year-old male presented with acute abdominal pain and vomiting.
- Initial diagnosis was gastroenteritis, but imaging revealed jejunojejunal intussusception.
Findings:
- Antegrade barium study identified intussusception with a soft tissue mass acting as the lead point.
- Computed tomography scan suggested the mass was a leiomyoma, later confirmed histopathologically.
Implications:
- This case highlights leiomyoma as a potential lead point for adult intussusception.
- Accurate diagnosis through advanced imaging is crucial for appropriate surgical management.