Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction

Background: Adult intussusception is a relatively rare clinical entity. The majority of cases of intussusception in adults are due to a pathologic condition that serves as a lead point and requires surgery. Small bowel intussusception is usually caused by benign or malignant neoplasms appearing at t...

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Main Authors: Jun Sam Tan, Kai Ming Teah, Vee Chuan Hoe, Allim Khairuddin, Harivinthan Sellapan, Firdaus Hayati, Nor Haizura Ab Rani
Format: Article
Language:English
English
Published: Elsevier 2020
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/26516/1/Jejunojejunal%20intussusception%20secondary%20to%20inflammatory%20fibroid%20polyp.pdf
https://eprints.ums.edu.my/id/eprint/26516/2/Jejunojejunal%20intussusception%20secondary%20to%20inflammatory%20fibroid%20polyp1.pdf
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author Jun Sam Tan
Kai Ming Teah
Vee Chuan Hoe
Allim Khairuddin
Harivinthan Sellapan
Firdaus Hayati
Nor Haizura Ab Rani
author_facet Jun Sam Tan
Kai Ming Teah
Vee Chuan Hoe
Allim Khairuddin
Harivinthan Sellapan
Firdaus Hayati
Nor Haizura Ab Rani
author_sort Jun Sam Tan
collection UMS
description Background: Adult intussusception is a relatively rare clinical entity. The majority of cases of intussusception in adults are due to a pathologic condition that serves as a lead point and requires surgery. Small bowel intussusception is usually caused by benign or malignant neoplasms appearing at the head of the invagination. Inflammatory fibroid polyp (IFP) of the small bowel is an unusual benign neoplastic lesion that has been rarely reported to cause intussusception, especially in the jejunum. Case presentation: We present a rare case of adult intussusception who presented with a triad of intestinal obstruction. Computed tomography revealed small bowel intussusception with bowel ischemia. Intraoperatively, she required resection of the small bowel and primary anastomosis. Macroscopic examination revealed a single pedunculated polyp, which is the lead point of intestinal obstruction and confirmed histologically. Conclusion: Inflammatory fibroid polyp should be considered as a cause of intussusception among adults with small bowel obstruction.
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spelling ums.eprints-265162021-04-05T08:12:10Z https://eprints.ums.edu.my/id/eprint/26516/ Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction Jun Sam Tan Kai Ming Teah Vee Chuan Hoe Allim Khairuddin Harivinthan Sellapan Firdaus Hayati Nor Haizura Ab Rani R Medicine (General) Background: Adult intussusception is a relatively rare clinical entity. The majority of cases of intussusception in adults are due to a pathologic condition that serves as a lead point and requires surgery. Small bowel intussusception is usually caused by benign or malignant neoplasms appearing at the head of the invagination. Inflammatory fibroid polyp (IFP) of the small bowel is an unusual benign neoplastic lesion that has been rarely reported to cause intussusception, especially in the jejunum. Case presentation: We present a rare case of adult intussusception who presented with a triad of intestinal obstruction. Computed tomography revealed small bowel intussusception with bowel ischemia. Intraoperatively, she required resection of the small bowel and primary anastomosis. Macroscopic examination revealed a single pedunculated polyp, which is the lead point of intestinal obstruction and confirmed histologically. Conclusion: Inflammatory fibroid polyp should be considered as a cause of intussusception among adults with small bowel obstruction. Elsevier 2020 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/26516/1/Jejunojejunal%20intussusception%20secondary%20to%20inflammatory%20fibroid%20polyp.pdf text en https://eprints.ums.edu.my/id/eprint/26516/2/Jejunojejunal%20intussusception%20secondary%20to%20inflammatory%20fibroid%20polyp1.pdf Jun Sam Tan and Kai Ming Teah and Vee Chuan Hoe and Allim Khairuddin and Harivinthan Sellapan and Firdaus Hayati and Nor Haizura Ab Rani (2020) Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction. Annals of Medicine and Surgery, 59. pp. 251-253. https://doi.org/10.1016/j.amsu.2020.10.009
spellingShingle R Medicine (General)
Jun Sam Tan
Kai Ming Teah
Vee Chuan Hoe
Allim Khairuddin
Harivinthan Sellapan
Firdaus Hayati
Nor Haizura Ab Rani
Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction
title Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction
title_full Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction
title_fullStr Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction
title_full_unstemmed Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction
title_short Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction
title_sort jejunojejunal intussusception secondary to inflammatory fibroid polyp a rare cause of small bowel obstruction
topic R Medicine (General)
url https://eprints.ums.edu.my/id/eprint/26516/1/Jejunojejunal%20intussusception%20secondary%20to%20inflammatory%20fibroid%20polyp.pdf
https://eprints.ums.edu.my/id/eprint/26516/2/Jejunojejunal%20intussusception%20secondary%20to%20inflammatory%20fibroid%20polyp1.pdf
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