Year 2025 / Volume 117 / Number 2
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Intestinal intussusception in adult as an uncommon cause of mechanical obstruction

104-105

DOI: 10.17235/reed.2023.9698/2023

Rodolfo Manuel Batista Castillo, Raquel Martínez Alarcón, Angelina Montserrat Martí, Juan José Pamies Tomas,

Abstract
A 61-year-old woman admitted for epigastric abdominal pain, three months of evolution, worsens after ingestion, associating abdominal distension and constipation. Physical examination: abdominal pain and distension in the mesogastric zone. Blood tests: slight increase in C-reactive protein; abdominal X-ray: the small bowel dilatation; computed tomography scan: small bowel obstruction due to intussusception. An exploratory laparotomy was performed, confirming a mechanical intestinal occlusion secondary to 5 centimeters jejunal intussusception (image 3); It was execute an intestinal resection with adequate margins and an anisoperistaltic mechanical side-to-side anastomosis. Correct postoperative evolution; hospital discharge on the sixth day. Pathology report: polypoid intussusception, 4.3x3.3 centimeters, superficial ulceration, edema, chronic inflammation; resection margins without alterations.
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References
Cuauhtly Gallegos-Sierra, Manuel Alfonso Belmonte-Chico Goerne, Juan Ramírez-Jaimez, Salvador de la Cruz-Temores, Karla Lisseth Leonher-Ruezga. Intususcepción intestinal secundaria a tumor miofibroblástico en un adulto mayor. Reporte de caso. Cirugía y Cirujanos 2017; 85(5): 444-448.
R. Franco-Herrera, M. Burneo-Esteves, J. Martín-Gil, A. Fabregues-Olea, D. Pérez-Díaz y F. Turégano-Fuentes. Invaginación intestinal en el adulto. Una causa infrecuente de obstrucción mecánica. Revista de Gastroenterología de México. 2012; 77(3): 153-156.
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Batista Castillo R, Martínez Alarcón R, Montserrat Martí A, Pamies Tomas J. Intestinal intussusception in adult as an uncommon cause of mechanical obstruction. 9698/2023


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Publication history

Received: 29/04/2023

Accepted: 05/05/2023

Online First: 19/05/2023

Published: 05/02/2025

Article Online First time: 20 days

Article editing time: 648 days


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