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báo cáo khoa học: "Compound double ileoileal and ileocecocolic intussusception caused by lipoma of the ileum in an adult patient: A case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Compound double ileoileal and ileocecocolic intussusception caused by lipoma of the ileum in an adult patient: A case report | Krasniqi et al. Journal of Medical Case Reports 2011 5 452 http www.jmedicalcasereports.eom content 5 1 452 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Compound double ileoileal and ileocecocolic intussusception caused by lipoma of the ileum in an adult patient A case report 1.2 2 1 1 1.2 2 Avdyl S Krasniqi Astrit R Hamza Lulzim M Salihu Gazmend S Spahija Besnik X Bicaj Selvete A Krasniqi Fisnik I Kurshumliu2 and Lumturije H Gashi-Luci1 2 Abstract Introduction The initial diagnosis of intussusception in adults very often can be missed and cause delayed treatment and possible serious complications. We report the case of an adult patient with complicated double ileoileal and ileocecocolic intussusception. Case presentation A 46-year-old Caucasian man was transferred from the gastroenterology service to the abdominal surgery service with severe abdominal pain nausea and vomiting. An abdominal ultrasound barium enema and abdominal computed tomography scan revealed an intraluminal obstruction of his ascending colon. Plain abdominal X-rays showed diffuse air-fluid levels in his small intestine. A double ileoileal and ileocecocolic intussusception was found during an emergent laparotomy. A right hemicolectomy including resection of a long segment of his ileum was performed. The postoperative period was complicated by acute renal failure shock liver and pulmonary thromboembolism. Our patient was discharged from the hospital after 30 days. An anatomical pathology examination revealed a lipoma of his ileum. Conclusions Intussusception in adults requires early surgical resection regardless of the nature of the initial cause. Delayed treatment can cause very serious complications. Introduction Intussusception was reported for the first time in 1674 by Barbette of Amsterdam. Intussusception or introsus-ception as it was named then was later detailed in 1789 by John Hunter 1 . In 1871 Sir Jonathan Hutchinson was the first to successfully operate on a child with .