Ileocolic Intussusception Prolapsing from the Rectum in von Recklinghausen's Disease
| Autor: | Ana Álvarez Gutiérrez, Félix Arija Val, Rocío González López, José Conde Vales, Leticia Alonso Fernández, Marlén Alvite Canosa, Lucía Dorado Castro, Inmaculada Monjero Ares |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Abdominal pain business.industry medicine.medical_treatment Rectum Sigmoid colon medicine.disease digestive system digestive system diseases Appendicitis Appendix Surgery medicine.anatomical_structure Laparotomy Intussusception (medical disorder) medicine Ascending colon medicine.symptom business |
| Zdroj: | Surgical Science. :421-423 |
| ISSN: | 2157-9415 2157-9407 |
| Popis: | Intussusception is a paediatric condition that rarely presents in adults. We report an exceptional case of ileocolic intussusception prolapsing from the rectum in an adult with Von Recklinghausen′s disease. A 31-year-old man with von Recklinghausen′s disease presented to emergency department with a history of severe abdominal pain, vomits and rectal bleeding. Abdominal computed tomography showed intestinal obstruction probably due to a sigmoidorectal intussusception. Ileum, appendix, cecum and ascending colon were found to be intussuscepting through transverse, descending and sigmoid colon and prolapsing from the rectum during an emergent laparotomy. A right hemicolectomy was performed. An anatomical pathology examination revealed a neurofibroma of the appendix as lead point for intussusception. Intussusception in adults requires early surgical resection regardless of the nature of the initial case. Neurofibroma of the appendix is very rare; although it is benign, prompt resection is recommended because of a high risk of appendicitis and malignant transformation. |
| Databáze: | OpenAIRE |
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