Intraoperative Endoscopy in Transient Adult Jejunojejunal Intussusception
| Autor: | Takeshi Okamoto, Hidekazu Suzuki, Katsuyuki Fukuda |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Enteroscopy
History medicine.medical_specialty Polymers and Plastics Nausea medicine.medical_treatment Case Report RC799-869 Epigastric pain Industrial and Manufacturing Engineering 03 medical and health sciences 0302 clinical medicine Unresected Intussusception (medical disorder) medicine Business and International Management medicine.diagnostic_test business.industry Bowel resection Diseases of the digestive system. Gastroenterology medicine.disease Endoscopy 030220 oncology & carcinogenesis Vomiting 030211 gastroenterology & hepatology Radiology medicine.symptom business |
| Zdroj: | Case Reports in Gastrointestinal Medicine, Vol 2021 (2021) Case Reports in Gastrointestinal Medicine |
| ISSN: | 2090-6536 2090-6528 |
| Popis: | Despite improvements in imaging modalities, causative lead points in adult intussusception may be difficult to diagnose. Such lead points can be malignant, causing recurrence or metastases if left unresected. We describe a case of transient adult jejunojejunal intussusception, in which intraoperative endoscopy was used to confirm the absence of a lead point. A 39-year-old woman with a history of laparoscopic oophorectomy presented with epigastric pain, nausea, and vomiting. Contrast computed tomography revealed jejunojejunal intussusception, with no visible lead point. Spontaneous reduction was confirmed during exploratory laparoscopy. After lysis of adhesions, intraoperative peroral jejunoscopy was performed with the surgeons’ assistance. Endoscopy confirmed the absence of tumor, and bowel resection was avoided. No recurrence has been observed during 24 months of follow-up. Intraoperative endoscopy may provide additional reassurance for the absence of a lead point in cases where preoperative enteroscopy cannot be performed and no lead points can be identified on imaging. |
| Databáze: | OpenAIRE |
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