Double ileo-ileal intussusception secondary to inflammatory pseudotumor in an adult: A rare case report
Sarthak Satpathy, Sibaprashad Pattanayak, Jitendra Kumar Sahoo, Satyaswarup Patnaik, Umesh Chandra Behera, Chinmay Samantaray
TL;DR
A rare case of double ileo-ileal intussusception caused by an inflammatory pseudotumor in an adult is reported, highlighting the importance of recognizing unusual benign tumors as lead points.
Contribution
This case report presents a rare occurrence of double intussusception in an adult caused by an inflammatory pseudotumor.
Findings
Inflammatory pseudotumor can act as a lead point for intussusception in adults.
Double ileo-ileal intussusception is an exceptionally rare condition requiring surgical intervention.
Prompt surgery allows for diagnosis and treatment of such rare presentations.
Abstract
Adult intussusception is rare and typically associated with an underlying lead point. Inflammatory pseudotumor, a rare benign lesion of uncertain etiology, can serve as such a lead point in the small bowel. The occurrence of double intussusception in this context is exceptionally uncommon. A 55-year-old woman presented with signs of small bowel obstruction. Imaging(Fig. 1–11) revealed ileo-ileal intussusception. Intraoperatively(Fig. 16–18), a Double intussusception configuration was observed where one intussuscepted segment acted as the lead point for a second. A firm lesion at the apex was resected. Histopathology confirmed Inflammatory Pseudotumor(Fig. 12–15). The patient recovered uneventfully and remained asymptomatic at 6-month follow-up. Double intussusception is extremely rare in adults. In this case, an inflammatory pseudotumor triggered an initial ileo-ileal intussusception,…
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Taxonomy
TopicsGastrointestinal disorders and treatments · IgG4-Related and Inflammatory Diseases · Biliary and Gastrointestinal Fistulas