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Jejunal Intussusception: A Rare Adult Presentation of Lymphoid Hyperplasia

Linda Laham1, Ratul Bhattacharyya1, Manrique Guerrero1

  • 1St. Joseph's University Medical Center, Dept of Surgery, 703 Main St. Paterson, NJ 07503, USA.

Case Reports in Surgery
|May 17, 2019
PubMed

Insights

A young man experienced sudden abdominal pain, diagnosed as jejunal intussusception. Surgical intervention involved open resection and primary anastomosis for this rare small bowel obstruction.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Intussusception, a condition where one part of the intestine slides into another, is rare in adults.
  • Abdominal pain is a common presenting symptom, necessitating thorough diagnostic evaluation.

Observation:

  • A 21-year-old male presented with acute abdominal pain.
  • CT scan showed signs suggestive of small bowel intussusception.
  • Laparoscopic exploration confirmed mid-jejunal intussusception, with distention precluding minimally invasive resection.

Findings:

  • Open segmental resection of the affected jejunum was performed, followed by primary anastomosis.
  • Pathology revealed reactive lymphoid hyperplasia and congestion as the likely cause.
  • The patient experienced an uncomplicated recovery.

Implications:

  • This case highlights the importance of considering intussusception in adult abdominal pain presentations.
  • Open surgery remains a viable option for complex or distended small bowel intussusception.
  • Reactive lymphoid hyperplasia can be an underlying etiology for adult intussusception.

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