Intercepting the Intussusception: A Rare Case of Adult Intussusception With a Cecal Neuroendocrine Tumor Lead Point.
| Autor: | Hasalliu E; Internal Medicine, Ascension Macomb-Oakland Hospital, Detroit, USA., Kabir KF; Internal Medicine, Michigan State University College of Osteopathic Medicine, Warren, USA.; Internal Medicine, Ascension Macomb-Oakland Hospital, Warren, USA., Hess J; Gastroenterology, Ascension Providence Hospital, Southfield, USA., Greer J; Gastroenterology, Ascension Providence Hospital, Southfield, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Jul 13; Vol. 16 (7), pp. e64460. Date of Electronic Publication: 2024 Jul 13 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.64460 |
| Abstrakt: | Intussusception is the invagination of one segment of the bowel into the adjacent bowel segment leading to obstruction, intestinal ischemia and, in severe cases, peritonitis and perforation. While the condition is more common in children, adult intussusception does occur and is often attributed to malignancy. In this case report, we discuss an adult man who presented for weight loss and intermittent abdominal pain and was ultimately found to have ileocecal intussusception on CT imaging. A colonoscopy with cold biopsy was performed and pathology reports displayed a well-differentiated neuroendocrine tumor lead point; a rare event with only a few cases reported. Ultimately, the patient was taken to the operating room, and an ileocecectomy was performed with primary anastomosis. Prompt diagnosis and management are crucial in adult intussusception as a missed event can lead to tumor progression, bowel ischemia, bleeding and necrosis. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Hasalliu et al.) |
| Databáze: | MEDLINE |
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