Recurrent Right Upper Quadrant Pain Masquerading an Underlying Colon Adenocarcinoma-Induced Intussusception

Intussusception in adults is a challenging diagnosis that often requires a high degree of suspicion. In adults presenting with symptoms, almost 90% have underlying neoplasms. Most frequently, the presentation will include nonspecific abdominal pain, vomiting, and mucoid hematochezia. In this case, w...

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Main Authors: Zeena Ayad Qiryaqoz, Urvashi Katiyar, Saad Shebrain
Format: Article
Language:English
Published: Karger Publishers 2021-06-01
Series:Case Reports in Gastroenterology
Subjects:
Online Access:https://www.karger.com/Article/FullText/516863
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author Zeena Ayad Qiryaqoz
Urvashi Katiyar
Saad Shebrain
author_facet Zeena Ayad Qiryaqoz
Urvashi Katiyar
Saad Shebrain
author_sort Zeena Ayad Qiryaqoz
collection DOAJ
description Intussusception in adults is a challenging diagnosis that often requires a high degree of suspicion. In adults presenting with symptoms, almost 90% have underlying neoplasms. Most frequently, the presentation will include nonspecific abdominal pain, vomiting, and mucoid hematochezia. In this case, we present a 39-year-old female with a rare presentation of chronic, recurrent right upper quadrant abdominal pain over a 5-month interval. The misleading presentation with which the patient presented led to a delay in diagnosis and treatment of colon malignancy and serves to advocate for intussusception as a differential for adult patients presenting with obstructive symptoms of unknown origin and recurrent abdominal pain. Such cases should persuade physicians to plan prompt surgical intervention as to not delay optimal diagnostic and therapeutic outcomes.
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spelling doaj.art-393d00ae7485452f920381eaeb60022a2022-12-21T20:21:11ZengKarger PublishersCase Reports in Gastroenterology1662-06312021-06-0115250150610.1159/000516863516863Recurrent Right Upper Quadrant Pain Masquerading an Underlying Colon Adenocarcinoma-Induced IntussusceptionZeena Ayad Qiryaqoz0https://orcid.org/0000-0002-4973-2574Urvashi Katiyar1Saad Shebrain2Western Michigan University Homer Stryker, School of Medicine, Kalamazoo, MI, USABronson Methodist Hospital, Kalamazoo, MI, USABronson Methodist Hospital, Kalamazoo, MI, USAIntussusception in adults is a challenging diagnosis that often requires a high degree of suspicion. In adults presenting with symptoms, almost 90% have underlying neoplasms. Most frequently, the presentation will include nonspecific abdominal pain, vomiting, and mucoid hematochezia. In this case, we present a 39-year-old female with a rare presentation of chronic, recurrent right upper quadrant abdominal pain over a 5-month interval. The misleading presentation with which the patient presented led to a delay in diagnosis and treatment of colon malignancy and serves to advocate for intussusception as a differential for adult patients presenting with obstructive symptoms of unknown origin and recurrent abdominal pain. Such cases should persuade physicians to plan prompt surgical intervention as to not delay optimal diagnostic and therapeutic outcomes.https://www.karger.com/Article/FullText/516863intussusceptionadenocarcinomacase reportgastroenterology
spellingShingle Zeena Ayad Qiryaqoz
Urvashi Katiyar
Saad Shebrain
Recurrent Right Upper Quadrant Pain Masquerading an Underlying Colon Adenocarcinoma-Induced Intussusception
Case Reports in Gastroenterology
intussusception
adenocarcinoma
case report
gastroenterology
title Recurrent Right Upper Quadrant Pain Masquerading an Underlying Colon Adenocarcinoma-Induced Intussusception
title_full Recurrent Right Upper Quadrant Pain Masquerading an Underlying Colon Adenocarcinoma-Induced Intussusception
title_fullStr Recurrent Right Upper Quadrant Pain Masquerading an Underlying Colon Adenocarcinoma-Induced Intussusception
title_full_unstemmed Recurrent Right Upper Quadrant Pain Masquerading an Underlying Colon Adenocarcinoma-Induced Intussusception
title_short Recurrent Right Upper Quadrant Pain Masquerading an Underlying Colon Adenocarcinoma-Induced Intussusception
title_sort recurrent right upper quadrant pain masquerading an underlying colon adenocarcinoma induced intussusception
topic intussusception
adenocarcinoma
case report
gastroenterology
url https://www.karger.com/Article/FullText/516863
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AT urvashikatiyar recurrentrightupperquadrantpainmasqueradinganunderlyingcolonadenocarcinomainducedintussusception
AT saadshebrain recurrentrightupperquadrantpainmasqueradinganunderlyingcolonadenocarcinomainducedintussusception