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A case of small intestinal obstruction in an 82-yr-old woman caused by an ileoileal intussusception is reported. At the leading point of the intussusceptum an adenomyomatous hamartoma was found. In a review of the literature we were unable to find a similar case.
A case of mechanical obstruction due to retrograde jejunogastric intussusception through the enteroanastomosis after a Billroth II gastric resection is reported. The literature is reviewed with special attention to the operative procedure performed. Reduction of the enteroanastomosis is proposed as the method of choice in these cases.
In 2 cases of chronic intestinal intussusception in horses, one involved jejunum and the other, ileum. The only clinical signs observed were intermittent colic. Surgery was performed on both horses, with successful outcomes.
A case of intestinal intussusception (I.I.) is described in a newborn and 42 cases in the literature revised. I.I. is not a frequent entity in the neonate and has special clinical and radiological characteristics. Symptomatology of patients is unspecific and makes diagnosis difficult. The elevated incidence of necrosis and intestinal perforation, possibly related with the delay with which diagnosis is effected, is without doubt the determing factor in the high incidence of mortality in these patients. The finding of a conditioning organic lesion is much more frequent in the neonatal period than later ages.
Intussusception of the vermiform appendix is reported in a frequency of 0.01%. Different aetiologic factors are implicated, a directed hyperperistalsis against intraluminal obstruction is thought to be the pathogenetic mechanism. There is a lack of typical symptoms, very often appendicitis or caecal tumor is diagnosed. Concomitant inflammation renders recognition more difficult. The caecum must be resected if a malignant tumour cannot be ruled out. Appendectomy is performed in definite findings. Our case report may remind of this uncommon occurrence.
The authors report a personal case of ileocaecal intussusception in an adult, revealing a benign lipoma of the last ileal loop. A review of the available bibliography was made emphasizing the essential characteristics of this rare type of lesion.
A case is reported of a 65-year-old man operated on to relieve obstruction of the left common carotid and left subclavian arteries due to a dissecting aneurysm. At operation the obstruction was found to be due to detachment of the intima from the ascending aorta followed by intussusception into the distal aortic arch. Surgical correction consisted in resection of the ascending aorta and aortic arch and replacement with a Dacron graft. Certain technical aspects of the operation were considered important in achieving a successful outcome.
Four new cases of appendiceal intussusception are reported bringing the total of reported cases to about 150. The correct diagnosis is rarely made either in acute or chronic cases. If the diagnosis is made intraoperatively, unnecessary right colon resection can be avoided as appendectomy with a small margin of cecal wall is all that is indicated.
An eight-day-old girl had sonography performed to rule out pyloric stenosis because of recurrent vomiting and a right upper quadrant mass. Caudal to the normal pylorus sonography demonstrated an elongated mass containing two hypoechoic rings with a cyst at the end of it. An ileocolic intussusception was then diagnosed by a barium examination. Surgery confirmed the diagnosis, the leading mass being a duplication cyst.
A patient is presented who exhibited recurrent episodes of acute pancreatitis as well as intermittent intussusception. It is felt that both of these abnormalities are due to an intraluminal duodenal diverticulum. The developmental theories of the intraluminal duodenal diverticulum are discussed. Early recognition of intraluminal duodenal diverticulum is aided by the awareness of its existence and the characteristic appearance on upper gastrointestinal barium examination. Surgery is curative.
This is a review of 188 cases of intussusception collected in 4 separate studies over an 18 year period and compared with each other. An early diagnosis by the pediatrician, the immediate consultation of a pediatric surgeon to detect signs of peritoneal irritation and to attend the barium enema and a well trained pediatric radiologist are essential for success with the barium enema technic of reduction. The percentage of successful reduction by this method increased to 72% in 1972-1974 and then dropped to 56% during the following year. The main factor for this change was the implication of less experienced radiology residents.
A 55-yr-old white woman with a polypoid filling defect in the caput cecum, on barium enema examination, had endoscopic removal of this mass. This was immediately recognized macroscopically to be an intussuscepted appendix. This case is only the second naturally inverting appendix to be removed endoscopically, and it was complicated 18 h later by local peritonitis which was heralded by acute right lower quadrant pain. Laparotomy revealed a cleanly transected base of appendix and cecal adhesions representing previous chronic inflammatory disease. Endoscopists should consider this diagnosis in all cases of mass lesions of the caput cecum. It is imperative to retrieve such lesions if polypectomy is performed, as the macroscopic diagnosis is then evident. Once the diagnosis is established, immediate surgery is advised rather than watchful waiting.
When an area of giant pseudopolyp formation resulted in intussusception in a patient with known ulcerative colitis, operative intervention was required. The double contrast barium enema and fiberoptic colonoscopy were valuable complimentary diagnostic techniques in the evaluation of such a patient.
Retrograde jejunal intussusception (RJI) is an uncommon complication of gastric resection procedures that can be life threatening. Two cases of RJI are presented with discussion of the possible etiologies, manifestations, diagnosis and management of this complication.
During a laparotomy because of an intestinal obstruction in ileocolica intussusception associated with coecal lipoma was diagnosed and the right hemicolectomy was necessary.
Intussusception of the colon is common in the infant, but in the adult this entity is rare. Only 1260 cases have been reported since 1892. We report eight such cases encountered during a 2-year period.
A case of ileal duplication with an impacted fecalith and intussusception is reported. The inclusion of enteric duplication in the differential diagnosis of abdominal syndromes is suggested. Certain events, often sudden and severe, lead to surgical intervention.
Appendiceal intussusception in a 32-year-old woman was preoperatively diagnosed by barium enema and colonoscopy. It was associated with endometriosis involving the appendix.