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...
Main Authors: | , , |
---|---|
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 |
_version_ | 1818872200066760704 |
---|---|
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. |
first_indexed | 2024-12-19T12:35:02Z |
format | Article |
id | doaj.art-393d00ae7485452f920381eaeb60022a |
institution | Directory Open Access Journal |
issn | 1662-0631 |
language | English |
last_indexed | 2024-12-19T12:35:02Z |
publishDate | 2021-06-01 |
publisher | Karger Publishers |
record_format | Article |
series | Case Reports in Gastroenterology |
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 |
work_keys_str_mv | AT zeenaayadqiryaqoz recurrentrightupperquadrantpainmasqueradinganunderlyingcolonadenocarcinomainducedintussusception AT urvashikatiyar recurrentrightupperquadrantpainmasqueradinganunderlyingcolonadenocarcinomainducedintussusception AT saadshebrain recurrentrightupperquadrantpainmasqueradinganunderlyingcolonadenocarcinomainducedintussusception |