Small bowel intussusception secondary to intestinal submucosal cyst in an infant

We experienced an infant with small bowel intussusception due to a rare pathological lead point. The two-month-old baby has admitted to our center with because of vomiting and bloody stool. Although an intraabdominal multicystic mass was suspected by abdominal ultrasonography, other examinations did...

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Main Authors: Seiichiro Inoue, Akio Odaka, Yuki Muta, Shohei Maruta, Yuta Takeuchi, Yoshifumi Beck, Takahisa Yamashita
Format: Article
Language:English
Published: Elsevier 2022-05-01
Series:Journal of Pediatric Surgery Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576622000756
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author Seiichiro Inoue
Akio Odaka
Yuki Muta
Shohei Maruta
Yuta Takeuchi
Yoshifumi Beck
Takahisa Yamashita
author_facet Seiichiro Inoue
Akio Odaka
Yuki Muta
Shohei Maruta
Yuta Takeuchi
Yoshifumi Beck
Takahisa Yamashita
author_sort Seiichiro Inoue
collection DOAJ
description We experienced an infant with small bowel intussusception due to a rare pathological lead point. The two-month-old baby has admitted to our center with because of vomiting and bloody stool. Although an intraabdominal multicystic mass was suspected by abdominal ultrasonography, other examinations did not detect any abnormal findings. The infant was discharged but was readmitted one week later because of vomiting and transient impairment of consciousness. Although no ileocolic intussusception was visible by enema, abdominal computed tomography and ultrasonography clearly showed intestinal invagination. Emergency laparotomy was performed, whereupon a small bowel intussusception was observed. After surgical reduction, a small, palpable intramural mass was found at the lead point of the invagination, and the section of the intestine containing the mass was removed by wedge resection. The mass was multicystic and was diagnosed by immunohistochemistry as an intestinal submucosal cyst.
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spelling doaj.art-e5984255cfbc4d848c1498401f84662c2022-12-21T18:13:34ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662022-05-0180102248Small bowel intussusception secondary to intestinal submucosal cyst in an infantSeiichiro Inoue0Akio Odaka1Yuki Muta2Shohei Maruta3Yuta Takeuchi4Yoshifumi Beck5Takahisa Yamashita6Department of Hepato-Biliary-Pancreatic Surgery and Pediatric Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, Japan; Corresponding author.Department of Hepato-Biliary-Pancreatic Surgery and Pediatric Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, JapanDepartment of Hepato-Biliary-Pancreatic Surgery and Pediatric Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, JapanDepartment of Hepato-Biliary-Pancreatic Surgery and Pediatric Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, JapanDepartment of Hepato-Biliary-Pancreatic Surgery and Pediatric Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, JapanDepartment of Hepato-Biliary-Pancreatic Surgery and Pediatric Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, JapanDepartment of Pathology, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, JapanWe experienced an infant with small bowel intussusception due to a rare pathological lead point. The two-month-old baby has admitted to our center with because of vomiting and bloody stool. Although an intraabdominal multicystic mass was suspected by abdominal ultrasonography, other examinations did not detect any abnormal findings. The infant was discharged but was readmitted one week later because of vomiting and transient impairment of consciousness. Although no ileocolic intussusception was visible by enema, abdominal computed tomography and ultrasonography clearly showed intestinal invagination. Emergency laparotomy was performed, whereupon a small bowel intussusception was observed. After surgical reduction, a small, palpable intramural mass was found at the lead point of the invagination, and the section of the intestine containing the mass was removed by wedge resection. The mass was multicystic and was diagnosed by immunohistochemistry as an intestinal submucosal cyst.http://www.sciencedirect.com/science/article/pii/S2213576622000756Small bowel intussusception in infantPathological lead pointIntestinal submucosal cystSecondary intussusception
spellingShingle Seiichiro Inoue
Akio Odaka
Yuki Muta
Shohei Maruta
Yuta Takeuchi
Yoshifumi Beck
Takahisa Yamashita
Small bowel intussusception secondary to intestinal submucosal cyst in an infant
Journal of Pediatric Surgery Case Reports
Small bowel intussusception in infant
Pathological lead point
Intestinal submucosal cyst
Secondary intussusception
title Small bowel intussusception secondary to intestinal submucosal cyst in an infant
title_full Small bowel intussusception secondary to intestinal submucosal cyst in an infant
title_fullStr Small bowel intussusception secondary to intestinal submucosal cyst in an infant
title_full_unstemmed Small bowel intussusception secondary to intestinal submucosal cyst in an infant
title_short Small bowel intussusception secondary to intestinal submucosal cyst in an infant
title_sort small bowel intussusception secondary to intestinal submucosal cyst in an infant
topic Small bowel intussusception in infant
Pathological lead point
Intestinal submucosal cyst
Secondary intussusception
url http://www.sciencedirect.com/science/article/pii/S2213576622000756
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